| Samantha Rae Tucker, CRNA | |
|
55 Lake Ave N, Worcester, MA 01655-0002 | |
| (508) 334-3271 | |
| (508) 856-5911 |
| Full Name | Samantha Rae Tucker |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 55 Lake Ave N, Worcester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285207282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN2273421 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN2273421 (Massachusetts) | Primary |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Rae Tucker, CRNA Po Box 415348, Boston, MA 02241-5348 Ph: () - | Samantha Rae Tucker, 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 |