| Michael P Ennis, CRNA | |
|
55 Fogg Rd, Weymouth, MA 02190-2432 | |
| (781) 624-8000 | |
| Not Available |
| Full Name | Michael P Ennis |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 55 Fogg Rd, Weymouth, Massachusetts |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346241288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 213881 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11011995 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Brown University Health Saint Anne's Hospital | Fall river, MA | Hospital |
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smh Physician Services Inc | 1355240177 | 781 |
| Lifespan Physician Group Of Massachusetts Inc | 3870020399 | 458 |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Entity Name | Sarasota Anesthesiologists, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710917976 PECOS PAC ID: 2365341641 Enrollment ID: O20040106000311 |
| Entity Name | Sarasota Anesthesia Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689857393 PECOS PAC ID: 4284708207 Enrollment ID: O20080808000213 |
| Entity Name | Greater Florida Anesthesiologists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942519657 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
| Entity Name | Anesthesia Dynamics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Ennis, CRNA 3645 Slayton Ave, North Port, FL 34286-4211 Ph: (401) 486-8969 | Michael P Ennis, CRNA 55 Fogg Rd, Weymouth, MA 02190-2432 Ph: (781) 624-8000 |
Lindsey Trefry, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000 |
Mr. Gerald F. Finerty Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 Phone: 781-337-4224 Fax: 781-335-0429 |
Mr. Dylan Vanlith, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000 |
Peter Stasinos, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000 |
Trang Tong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 163 Libbey Pkwy, Suite 301, Weymouth, MA 02189 Phone: 781-337-4224 Fax: 781-335-0429 |
Mrs. Kayla Fagerberg, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 696 Main St, Weymouth, MA 02190 Phone: 781-331-3820 Fax: 781-331-1076 |
Caroline P. Macintosh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 163 Libbey Pkwy, Suite 301, Weymouth, MA 02189 Phone: 781-337-4224 Fax: 781-335-0429 |