Theresa Caron Bognanno, CRNA | |
2100 Dorchester Ave, Dorchester Center, MA 02124-5615 | |
(617) 298-4632 | |
(617) 296-6919 |
Full Name | Theresa Caron Bognanno |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 43 Years |
Location | 2100 Dorchester Ave, Dorchester Center, 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 |
---|---|---|---|
1245294891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 125244 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New England Eye Surgical Assoc | 2466431853 | 6 |
Entity Name | New England Eye Surgical Assoc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760449979 PECOS PAC ID: 2466431853 Enrollment ID: O20040719000827 |
Entity Name | Steward Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043711914 PECOS PAC ID: 2860688728 Enrollment ID: O20180329001196 |
Mailing Address | Practice Location Address |
---|---|
Theresa Caron Bognanno, CRNA 340 Main Street, Suite 670, Worcester, MA 01608-1604 Ph: (508) 754-3566 | Theresa Caron Bognanno, CRNA 2100 Dorchester Ave, Dorchester Center, MA 02124-5615 Ph: (617) 298-4632 |
Henry Thomas Howard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Maureen Nickerson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
James Egan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Richard Downey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Susan Joyce, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Laura Weiner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 |