Ms Mary Edith Lucci, CRNA | |
235 N Pearl St, Brockton, MA 02301-1794 | |
(508) 427-3000 | |
Not Available |
Full Name | Ms Mary Edith Lucci |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 235 N Pearl St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801872023 | NPI | - | NPPES |
P00949833 | Other | OH | MEDICARE RAILROAD |
0157682 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | NA-00184 (Ohio) | Primary |
Entity Name | Geauga Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841283454 PECOS PAC ID: 0840184602 Enrollment ID: O20040212000000 |
Entity Name | Lake Erie Sedation Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265927594 PECOS PAC ID: 0840536819 Enrollment ID: O20190111001533 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201013000268 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Edith Lucci, CRNA 960 Massachusetts Ave Ste 2, Boston, MA 02118-2690 Ph: (617) 414-5405 | Ms Mary Edith Lucci, CRNA 235 N Pearl St, Brockton, MA 02301-1794 Ph: (508) 427-3000 |
Maria Clara Ana Vaz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St Fl 2, Brockton, MA 02301 Phone: 508-427-3000 | |
Jessica Ann Clifford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000 | |
Susan Oliveira, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7656 Fax: 508-941-6247 | |
Pamela Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 781-344-2325 Fax: 781-341-8544 | |
Kirsten Antoinette Weathers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000 | |
Jennifer Lynn Ulicny, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1342 Belmont St, Brockton, MA 02301 Phone: 603-320-5984 | |
Travis Cory Caldarone, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000 |