Kerry Ana Vittum, CRNA | |
55 Fogg Rd, South Weymouth, MA 02190 | |
(781) 624-8000 | |
Not Available |
Full Name | Kerry Ana Vittum |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 55 Fogg Rd, South Weymouth, 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 |
---|---|---|---|
1235663089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN268888 (Massachusetts) | Primary |
163W00000X | Registered Nurse | RN268888 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
South Shore Hospital | South weymouth, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Medical Associates | 7113029257 | 424 |
South Suburban Gastroenterology Pc | 9931194412 | 34 |
Entity Name | South Suburban Gastroenterology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114948478 PECOS PAC ID: 9931194412 Enrollment ID: O20040415000288 |
Entity Name | Coastal Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
Entity Name | South Shore Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770530388 PECOS PAC ID: 4688571417 Enrollment ID: O20080424000079 |
Mailing Address | Practice Location Address |
---|---|
Kerry Ana Vittum, CRNA 163 Libbey Pkwy Ste 301, Weymouth, MA 02189-3118 Ph: (781) 337-4224 | Kerry Ana Vittum, CRNA 55 Fogg Rd, South Weymouth, MA 02190 Ph: (781) 624-8000 |
Tara Marie Steele, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8000 | |
Julia Mancuso, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8000 | |
Mckenzie Louis Samuelson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8000 |