| Seonggeun Jin, CRNA | |
|
85 Herrick St, Beverly, MA 01915-1790 | |
| (978) 816-3700 | |
| Not Available |
| Full Name | Seonggeun Jin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 85 Herrick St, Beverly, 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 |
|---|---|---|---|
| 1487889291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9253829 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN2312048 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Hospital Corporation | Beverly, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capa Anesthesia Llc | 1850786393 | 47 |
| Northeast Medical Practice Inc | 2365405024 | 228 |
| Umass Memorial Medical Group Inc | 4284539891 | 2096 |
| Jjm Medical Services Pc | 6800950312 | 38 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Entity Name | Anaesthesia Associates Of Massachusetts, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415289 PECOS PAC ID: 5193611267 Enrollment ID: O20040225000842 |
| 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 | Jjm Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952548265 PECOS PAC ID: 6800950312 Enrollment ID: O20090128000435 |
| 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 | Capa Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629723002 PECOS PAC ID: 1850786393 Enrollment ID: O20220318000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Seonggeun Jin, CRNA 41 Mall Rd, Burlington, MA 01805-0001 Ph: (781) 744-8000 | Seonggeun Jin, 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 |