| Mary M Boger, CRNA | |
|
95 Bulldog Blvd., Suite 104, Melbourne, FL 32901 | |
| (321) 729-9493 | |
| (954) 851-1746 |
| Full Name | Mary M Boger |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 95 Bulldog Blvd., Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508952961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9164912 (Florida) | Primary |
| 174400000X | Specialist | ARNP9164912 (Florida) | Secondary |
| Entity Name | Central Brevard Anesthesiologists PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205875671 PECOS PAC ID: 3577477314 Enrollment ID: O20031118000796 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| 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 M Boger, CRNA 1613 N Harrison Parkway, Suite 200, Mailstop Sh 9a, Sunrise, FL 33323 Ph: (954) 838-2371 | Mary M Boger, CRNA 95 Bulldog Blvd., Suite 104, Melbourne, FL 32901 Ph: (321) 729-9493 |
Barry T Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 |
Thomas Harold Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2134 Nebula Way Unit 101, Melbourne, FL 32904 Phone: 256-990-5466 |
Patricia Ann Sullivan-liebig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 282 Oak Haven Dr, Melbourne, FL 32940 Phone: 321-863-6531 Fax: 321-254-6196 |
Sandra Jean Bess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 625 Sandpiper Cir, Melbourne, FL 32901 Phone: 321-727-8071 Fax: 321-727-8071 |
Wilfred R Lovelock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8040 N Wickham Rd, Melbourne, FL 32940 Phone: 321-757-7272 |
Christine L Croskey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1340 Medical Park Dr, Ste 101, Melbourne, FL 32901 Phone: 321-729-9493 |
Patricia Navara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 |