| Melissa Marie Bokan, CRNA, DNP | |
|
Psc 475 Box 1, Fpo, AP 96350-1200 | |
| (865) 310-6352 | |
| Not Available |
| Full Name | Melissa Marie Bokan |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | Psc 475 Box 1, Fpo, Armed Forces Pacific |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316558059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AC005147 (Maryland) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0000027738 (Tennessee) | Primary |
| Entity Name | North American Partners In Anesthesia Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093707879 PECOS PAC ID: 1850283144 Enrollment ID: O20040330000405 |
| Entity Name | North Calvert Anesthesiology Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710360227 PECOS PAC ID: 8921309980 Enrollment ID: O20151216000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Marie Bokan, CRNA, DNP 8901 Rockville Pike, Bethesda, MD 20889-0001 Ph: () - | Melissa Marie Bokan, CRNA, DNP Psc 475 Box 1, Fpo, AP 96350-1200 Ph: (865) 310-6352 |
Juan Felipe Canchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Psc 482 Box 1600, Fpo, AP 96362 Phone: 315-646-7494 | |
Mr. Shawn Russell Bowdoin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Psc 482, Box 4, Fpo, AP 96362 Phone: 315-643-7490 | |
Dr. Byron Fjeld, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Psc 482 Box 1600, Fpo, AP 96362 Phone: 406-390-1128 | |
Matthew Eric Kirchoff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Psc 482 Box 1600, Fpo, AP 96362 Phone: 812-212-5219 | |
Dr. Joy Marie Abonitalla Bautista, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Psc 482, Fpo, AP 96362 Phone: 315-646-7492 | |
Amanda Jane Honig, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Psc 475, Fpo, AP 96350 Phone: 619-278-1141 |