Tara E Bonardi, | |
1915 E Rezanof Dr, Kodiak, AK 99615-6602 | |
(774) 239-4106 | |
Not Available |
Full Name | Tara E Bonardi |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 1915 E Rezanof Dr, Kodiak, Alaska |
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 |
---|---|---|---|
1528615424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 148835 (Alaska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Denali Anesthesia Llc | 2567455678 | 30 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952430902 PECOS PAC ID: 5799675120 Enrollment ID: O20040318000605 |
Entity Name | Denali Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508854712 PECOS PAC ID: 2567455678 Enrollment ID: O20040405001747 |
Entity Name | Anesthesia Care Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033160452 PECOS PAC ID: 0446244388 Enrollment ID: O20040413000787 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1013905660 PECOS PAC ID: 5799675120 Enrollment ID: O20041221000920 |
Mailing Address | Practice Location Address |
---|---|
Tara E Bonardi, 3527 Woodland Dr, Kodiak, AK 99615-7017 Ph: (774) 239-4106 | Tara E Bonardi, 1915 E Rezanof Dr, Kodiak, AK 99615-6602 Ph: (774) 239-4106 |
Cynthia M Parent, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-223-7513 | |
Mary Kathleen Magnusen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9500 | |
Scott Allen Carver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-3281 Fax: 907-684-0421 |