Mary Y Ansari, CRNA | |
6308 8th Ave, Kenosha, WI 53143-5031 | |
(262) 656-2011 | |
Not Available |
Full Name | Mary Y Ansari |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 48 Years |
Location | 6308 8th Ave, Kenosha, Wisconsin |
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 |
---|---|---|---|
1700074440 | NPI | - | NPPES |
P00480380 | Other | RAIL ROAD MEDICARE | |
43399500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 72323 (Wisconsin) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 026133 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
United Hospital System | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Physicians Anesthesia Service, Sc | 0446230445 | 24 |
Entity Name | Midwest Physicians Anesthesia Service, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586653 PECOS PAC ID: 0446230445 Enrollment ID: O20040721000807 |
Mailing Address | Practice Location Address |
---|---|
Mary Y Ansari, CRNA 225 S Executive Dr, Brookfield, WI 53005-4257 Ph: (262) 787-4026 | Mary Y Ansari, CRNA 6308 8th Ave, Kenosha, WI 53143-5031 Ph: (262) 656-2011 |
Callie Colwell, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3825 39th Ave Ste 120, Kenosha, WI 53144 Phone: 629-465-7522 | |
Xochitl Jaminet, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3825 39th Ave Ste 120, Kenosha, WI 53144 Phone: 262-946-5752 | |
Mrs. Heather Marie Beard, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2520 44th Ave, Kenosha, WI 53144 Phone: 262-764-4590 | |
Roderick Brian Dela Cruz, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9428 69th St, Kenosha, WI 53142 Phone: 262-344-3892 | |
Leigh Wolters, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3825 39th Ave Ste 120, Kenosha, WI 53144 Phone: 262-946-5752 | |
Miss Trista Ann Fleege, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3400 176th Ave, Kenosha, WI 53144 Phone: 773-593-9017 | |
Lisa Smith-nowak, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7991 Sheridan Rd, Kenosha, WI 53143 Phone: 262-902-7784 |