| Paul J Banville, CRNA | |
|
85 Herrick St, Beverly, MA 01915-1790 | |
| (978) 816-3700 | |
| Not Available |
| Full Name | Paul J Banville |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 45 Years |
| Location | 85 Herrick St, Beverly, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265421689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 129748 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN137552 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icon Anesthesia Services Of New England Llc | 2668732041 | 51 |
| Entity Name | Beverly Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427041268 PECOS PAC ID: 2961491667 Enrollment ID: O20040508000009 |
| Entity Name | Northeast Medical Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235147760 PECOS PAC ID: 2365405024 Enrollment ID: O20050111000265 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul J Banville, CRNA 75 Lindall St, Danvers, MA 01923-2121 Ph: (978) 646-7088 | Paul J Banville, CRNA 85 Herrick St, Beverly, MA 01915-1790 Ph: (978) 816-3700 |
Tyanna Barnes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-816-2501 | |
Shamila Gopaul, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-816-3700 | |
Shannon E. Hard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-816-3700 | |
Monique Martina Fay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-816-3700 | |
Jasmine Baldwin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-816-3700 | |
Patricia Kitt, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-816-3700 | |
Irenio Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-816-3700 |