| Phyllis Adrienne Wolf, CRNA | |
|
84 Marginal Way Ste 1000, Portland, ME 04101-2477 | |
| (207) 347-2898 | |
| (207) 553-1415 |
| Full Name | Phyllis Adrienne Wolf |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 84 Marginal Way Ste 1000, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689819492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA203073 (Maine) | Primary |
| Entity Name | Rancocas Anesthesiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427076553 PECOS PAC ID: 2769380237 Enrollment ID: O20040330000316 |
| Entity Name | Shriners Hospitals For Children |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1659615706 PECOS PAC ID: 9133031933 Enrollment ID: O20140508000878 |
| Entity Name | Stc Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Adrienne Wolf, CRNA 100 Gannett Dr Ste C, South Portland, ME 04106-5900 Ph: (207) 828-0361 | Phyllis Adrienne Wolf, CRNA 84 Marginal Way Ste 1000, Portland, ME 04101-2477 Ph: (207) 347-2898 |
Kayla Lima, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 | |
Mr. Rex A Huber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 | |
Heidi S Alpern, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Department Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 | |
Katherine Mercedes, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Ms. Kathryn L Lillie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Anesthesiology, Portland, ME 04101 Phone: 207-553-6277 | |
Jessica L Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Dept Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 | |
Cole Barski, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 175 Fore River Pkwy, Portland, ME 04102 Phone: 207-879-3000 |