| Thomas Moore, CRNA | |
|
690 Canton St, Suite 325, Westwood, MA 02090-2321 | |
| (781) 407-7713 | |
| (781) 407-0998 |
| Full Name | Thomas Moore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 690 Canton St, Westwood, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689086837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 6951 (Connecticut) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 283089 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John Dempsey Hospital | Farmington, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Anesthesia Associates Llc | 1759281165 | 348 |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Entity Name | Integrated Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163 |
| Entity Name | Resource Anesthesiology Associates Of Ct Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447233176 PECOS PAC ID: 7517991052 Enrollment ID: O20050923000140 |
| Entity Name | Connecticut Gi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Moore, CRNA 333 Cedar St, Tmp 3, New Haven, CT 06510 Ph: (203) 785-2802 | Thomas Moore, CRNA 690 Canton St, Suite 325, Westwood, MA 02090-2321 Ph: (781) 407-7713 |
Laura Batalis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 | |
Jennifer Lieneck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Ste 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 | |
Judith Gobble, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 | |
Amy R Bogosian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 | |
Andrew A Madej, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 | |
Ellen Davey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 | |
James D Sprouse, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 690 Canton Street, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 |