| Mayra Pacheco, CRNA | |
|
Urb. El Madrigal, Calle 4 E 24, Ponce, PR 00730-1412 | |
| (787) 901-3343 | |
| Not Available |
| Full Name | Mayra Pacheco |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | Urb. El Madrigal, Ponce, Puerto Rico |
| 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 |
|---|---|---|---|
| 1275200180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 135759 (Puerto Rico) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11015293 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Regional Medical Center | Lakeland, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf-to-bay Anesthesiology Associates Llc | 5092628156 | 275 |
| Lockwood And Steely, Md's, Pa | 9830090885 | 18 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Lockwood & Steely, Md's, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972697266 PECOS PAC ID: 9830090885 Enrollment ID: O20040114000323 |
| Entity Name | Greater Florida Anesthesiologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Mayra Pacheco, CRNA Urb. El Madrigal, Calle 4 E 24, Ponce, PR 00730-1412 Ph: (787) 901-3343 | Mayra Pacheco, CRNA Urb. El Madrigal, Calle 4 E 24, Ponce, PR 00730-1412 Ph: (787) 901-3343 |
Hector Samuel Lopez Vega, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2435 Blvd Luis A Ferre, Ponce, PR 00717 Phone: 787-901-4226 | |
Rosa Ines Fernandez, CRNA, MBA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3120 Calle Portugues, Villa Dos Rios, Ponce, PR 00730 Phone: 787-341-9680 |