| Tara L Traczyk, RN | |
|
907 Summer St. Suite M201, Guardian Anesthesia Inc, Stoughton, MA 02072 | |
| (781) 344-2325 | |
| (781) 341-8544 |
| Full Name | Tara L Traczyk |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 907 Summer St. Suite M201, Stoughton, Massachusetts |
| 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 |
|---|---|---|---|
| 1386032167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN2297922 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2297922 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Hospital | Crown point, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Indiana Llc | 1153576905 | 115 |
| Sda Consultants Pllc | 3870825912 | 31 |
| Nwi Medical Associates , Llc | 4183087257 | 57 |
| Entity Name | St Catherine Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396847596 PECOS PAC ID: 1052225604 Enrollment ID: O20031118000149 |
| Entity Name | Munster Medical Research Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982653044 PECOS PAC ID: 8123913183 Enrollment ID: O20040623000905 |
| Entity Name | Northstar Anesthesia Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Entity Name | Northstar Anesthesia Of Indiana Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629475421 PECOS PAC ID: 6305161654 Enrollment ID: O20150210000088 |
| Entity Name | Sda Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20210819003335 |
| Entity Name | Nwi Medical Associates , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760182554 PECOS PAC ID: 4183087257 Enrollment ID: O20230823001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara L Traczyk, RN 907 Summer St. Suite M201, Guardian Anesthesia Inc, Stoughton, MA 02072 Ph: (781) 344-2325 | Tara L Traczyk, RN 907 Summer St. Suite M201, Guardian Anesthesia Inc, Stoughton, MA 02072 Ph: (781) 344-2325 |
Elizabeth Ann Brady, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 909 Sumner St, Stoughton, MA 02072 Phone: 781-344-2325 | |
Kimberly A Amouzgar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 Plain Drive, C/o Ma Anesthesia Corp., Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8269 | |
Marion Bragdon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 907 Sumner St, Suite M201, Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Michael Sera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 Sumner St, M201, Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Jacob Heeter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 Sumner St. Suite M201, Guardian Anesthesia Inc., Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Catherine C Eberly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 255 Plain Drive, Massachusetts Anesthesia Corp., Stoughton, MA 02072 Phone: 781-341-3966 Fax: 781-341-8269 | |
Janet C Paninski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 255 Plain Drive, Massachusetts Anesthesia Corp., Stoughton, MA 02072 Phone: 781-341-3966 Fax: 781-341-8269 |