Theresa Caron Bognanno, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dorchester Center, MA

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Theresa Caron Bognanno, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dorchester Center, Massachusetts. Her current practice location is 2100 Dorchester Ave, Dorchester Center, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 298-4632.

Theresa Caron Bognanno is licensed to practice in Massachusetts (license number 125244) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245294891.

Contact Information

Theresa Caron Bognanno, CRNA
2100 Dorchester Ave,
Dorchester Center, MA 02124-5615
(617) 298-4632
(617) 296-6919

Map and Direction




Provider's Profile

Full NameTheresa Caron Bognanno
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2100 Dorchester Ave, Dorchester Center, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245294891
  • Provider Enumeration Date: 04/12/2006
  • Last Update Date: 02/03/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1355356783
  • Enrollment ID: I20060207000319

Medical Identifiers

Medical identifiers for Theresa Caron Bognanno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245294891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 125244 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theresa Caron Bognanno allows following entities to bill medicare on her behalf.
Entity NameNew England Eye Surgical Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760449979
PECOS PAC ID: 2466431853
Enrollment ID: O20040719000827
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043711914
PECOS PAC ID: 2860688728
Enrollment ID: O20180329001196

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Caron Bognanno is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theresa Caron Bognanno, CRNA
340 Main Street, Suite 670,
Worcester, MA 01608-1604

Ph: (508) 754-3566		Theresa Caron Bognanno, CRNA
2100 Dorchester Ave,
Dorchester Center, MA 02124-5615

Ph: (617) 298-4632

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Dorchester Center, MA

Henry Thomas Howard,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124
Phone: 617-298-4632    Fax: 617-296-6919
Maureen Nickerson,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124
Phone: 617-298-4632    Fax: 617-296-6919
James Egan,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124
Phone: 617-298-4632    Fax: 617-296-6919
Richard Downey,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124
Phone: 617-298-4632    Fax: 617-296-6919
Susan Joyce, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124
Phone: 617-298-4632    Fax: 617-296-6919
Laura Weiner,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124
Phone: 617-298-4632    Fax: 617-296-6919

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.