Mark D Reardon, CRNA | |
55 Lake Ave N, Worcester, MA 01655-0002 | |
(508) 334-3271 | |
(508) 856-5911 |
Full Name | Mark D Reardon |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 55 Lake Ave N, Worcester, 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 |
---|---|---|---|
1518971076 | NPI | - | NPPES |
110153947A | Medicaid | MA | |
004243987 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN228961 (Massachusetts) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 003046 (Connecticut) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Middlesex Hospital | Middletown, CT | Hospital |
Windham Community Memorial Hospital | Willimantic, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Of Willimantic, Pc | 2163506353 | 48 |
Anesthesiologists Of Middletown, P.c. | 2769479781 | 39 |
Umass Memorial Medical Group Inc | 4284539891 | 1898 |
Entity Name | Woodland Anesthesiology Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20040420000027 |
Entity Name | Anesthesiologists Of Middletown, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851317135 PECOS PAC ID: 2769479781 Enrollment ID: O20040429001224 |
Entity Name | Anesthesia Associates Of Willimantic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306905799 PECOS PAC ID: 2163506353 Enrollment ID: O20080227000090 |
Mailing Address | Practice Location Address |
---|---|
Mark D Reardon, CRNA Po Box 415348, Boston, MA 02241-5348 Ph: () - | Mark D Reardon, CRNA 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-3271 |
Ewa Hryniszyn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Anesthesiology, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911 | |
David V. Capite, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6491 | |
Ms. Marilee Lorraine Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911 | |
Jaclyn T. Vonbleicken, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Anesthesiology, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911 | |
Leanne L Chabior, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Anesthesiology, Worcester, MA 01655 Phone: 508-856-3242 | |
Brianna L. Muller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Anesthesiology, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911 | |
Jennifer Anne Foley, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 |