| Mr Brian Kenneth Fontaine, CRNA | |
|
62 Amaral St Ste 100, Riverside, RI 02915-2205 | |
| (352) 275-2064 | |
| Not Available |
| Full Name | Mr Brian Kenneth Fontaine |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 62 Amaral St Ste 100, Riverside, Rhode Island |
| 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 |
|---|---|---|---|
| 1861584005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN00008 (Rhode Island) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 241092 (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Partners Of New England Llc | 2365835428 | 35 |
| Lifespan Physician Group Of Massachusetts Inc | 3870020399 | 286 |
| Anesthesia Partners Of New England Llc | 2365835428 | 35 |
| Entity Name | Narragansett Bay Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861445728 PECOS PAC ID: 5991774929 Enrollment ID: O20050714000216 |
| Entity Name | Icon Anesthesia Services Of New England Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629583323 PECOS PAC ID: 2668732041 Enrollment ID: O20180202001023 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043711914 PECOS PAC ID: 2860688728 Enrollment ID: O20180329001196 |
| Entity Name | Anesthesia Partners Of New England Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326672312 PECOS PAC ID: 2365835428 Enrollment ID: O20220222002522 |
| Entity Name | Lifespan Physician Group Of Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957713 PECOS PAC ID: 3870020399 Enrollment ID: O20241223001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Kenneth Fontaine, CRNA 33 Scarborough Rd, Pawtucket, RI 02861-4022 Ph: (401) 725-7021 | Mr Brian Kenneth Fontaine, CRNA 62 Amaral St Ste 100, Riverside, RI 02915-2205 Ph: (352) 275-2064 |
Angela Herrera, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 62 Amaral St Ste 100, Riverside, RI 02915 Phone: 352-275-2064 | |
David Olszewski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 42 Hemingway Dr, Riverside, RI 02915 Phone: 401-490-2130 |