Tatyana Tenenboym, CRNA | |
50 Staniford Street, C/o Ma Anesthesia Corp, Boston, MA 02114 | |
(248) 423-5100 | |
Not Available |
Full Name | Tatyana Tenenboym |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 50 Staniford Street, Boston, Massachusetts |
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 |
---|---|---|---|
1508871310 | NPI | - | NPPES |
TT205247 | Other | MI | BLUE CROSS OF MI |
104783761 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704205247 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2265689 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Massachusetts Eye And Ear Infirmary - | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Massachusetts Eye And Ear Associates, Inc | 4486540275 | 335 |
Entity Name | Massachusetts Eye And Ear Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932574332 PECOS PAC ID: 4486540275 Enrollment ID: O20040227000123 |
Mailing Address | Practice Location Address |
---|---|
Tatyana Tenenboym, CRNA P.o. Box 372, C/o Ma Anesthesia Corp, Stoughton, MA 02072-0372 Ph: (781) 341-3966 | Tatyana Tenenboym, CRNA 50 Staniford Street, C/o Ma Anesthesia Corp, Boston, MA 02114 Ph: (248) 423-5100 |
Mr. John Crawford Welch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Bader 3- Anesthesia, Boston, MA 02115 Phone: 857-218-5770 | |
Sophia N. Townsend, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118 Phone: 617-638-6950 Fax: 617-638-6966 | |
Lorrie-jeanne Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Dept. Of Anesthesia, Boston, MA 02215 Phone: 617-667-3110 Fax: 617-667-5013 | |
Colleen Mcartor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 Washington St, Nemc Box #7105, Boston, MA 02111 Phone: 617-636-5000 | |
Ms. Ann Marie Nichols-stout, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-8995 | |
Susan Maher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit Street, Cln 309 Mgh Anesthesia Associates, Boston, MA 02114 Phone: 617-726-3030 | |
Amy T. Moor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118 Phone: 617-638-6950 Fax: 617-638-6966 |