| Tara E Bonardi, | |
|
1915 E Rezanof Dr, Kodiak, AK 99615-6602 | |
| (774) 239-4106 | |
| Not Available |
| Full Name | Tara E Bonardi |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1915 E Rezanof Dr, Kodiak, Alaska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528615424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 148835 (Alaska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 5799675120 | 20 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952430902 PECOS PAC ID: 5799675120 Enrollment ID: O20040318000605 |
| Entity Name | Denali Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508854712 PECOS PAC ID: 2567455678 Enrollment ID: O20040405001747 |
| Entity Name | Anesthesia Care Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033160452 PECOS PAC ID: 0446244388 Enrollment ID: O20040413000787 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1013905660 PECOS PAC ID: 5799675120 Enrollment ID: O20041221000920 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara E Bonardi, 3527 Woodland Dr, Kodiak, AK 99615-7017 Ph: (774) 239-4106 | Tara E Bonardi, 1915 E Rezanof Dr, Kodiak, AK 99615-6602 Ph: (774) 239-4106 |
Cynthia M Parent, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-223-7513 | |
Mary Kathleen Magnusen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9500 | |
Scott Allen Carver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-3281 Fax: 907-684-0421 |