Mary Kay Lane, CRNA | |
900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | |
(218) 435-1133 | |
(218) 435-1134 |
Full Name | Mary Kay Lane |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 38 Years |
Location | 900 Hilligoss Blvd Se, Fosston, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497843593 | NPI | - | NPPES |
1034717 | Other | MN | PREFERRED ONE NUMBER |
373T8LA | Other | MN | BLUE CROSS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R15886-4 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lucie Medical Center | Port saint lucie, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Physician Solutions Of South Florida, Llc | 4688805286 | 220 |
Entity Name | Anesthesia Physician Solutions Of South Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665 |
Mailing Address | Practice Location Address |
---|---|
Mary Kay Lane, CRNA 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 Ph: (218) 435-1133 | Mary Kay Lane, CRNA 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 Ph: (218) 435-1133 |
Laurence A Yunker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 | |
Mrs. Kristi Lea Widseth, APRN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 900 Hilligoss Boulevard Se, Essentia Health Fosston, Fosston, MN 56542 Phone: 218-435-1133 | |
Kari Hitchen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 Fax: 218-435-1134 |