Mr Thomas Charles Bloomquist, CRNA | |
35 Miles St, Damariscotta, ME 04543-4047 | |
(207) 563-4146 | |
(207) 563-3717 |
Full Name | Mr Thomas Charles Bloomquist |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 35 Miles St, Damariscotta, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710986419 | NPI | - | NPPES |
30221746 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 048605-23-11 (New Hampshire) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RNA83341 (Maine) | Primary |
Entity Name | Granite State Anesthesiologists, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366658700 PECOS PAC ID: 1355394032 Enrollment ID: O20050222000661 |
Entity Name | Narragansett Bay Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861445728 PECOS PAC ID: 5991774929 Enrollment ID: O20200506000292 |
Mailing Address | Practice Location Address |
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Mr Thomas Charles Bloomquist, CRNA 35 Miles St, Damariscotta, ME 04543-4047 Ph: (207) 563-4146 | Mr Thomas Charles Bloomquist, CRNA 35 Miles St, Damariscotta, ME 04543-4047 Ph: (207) 563-4146 |
Ms. Ann E Misterovich, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-563-4837 | |
Kevin James Culpepper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-563-4837 | |
Kathleen E Donnelly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 35 Miles St, Miles Medical Group, Damariscotta, ME 04543 Phone: 207-563-4383 Fax: 207-563-3717 | |
Mr. William J Garske Jr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-921-8400 | |
Reatha W. Ballard, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-563-4904 | |
Lisa Susan Davis, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-563-1234 Fax: 603-228-2113 | |
Wendy S Nichols, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 35 Miles St., Miles Medical Group, Damariscotta, ME 04543 Phone: 207-563-4511 Fax: 207-563-4103 |