Timothy J Axelson, CRNA | |
149 North St, Waterville, ME 04901-4974 | |
(207) 622-1959 | |
(207) 430-4007 |
Full Name | Timothy J Axelson |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 149 North St, Waterville, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649219353 | NPI | - | NPPES |
300250099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 046902 (Maine) | Primary |
Entity Name | Kennebec Anesthesia Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992789184 PECOS PAC ID: 8325027428 Enrollment ID: O20040714000140 |
Mailing Address | Practice Location Address |
---|---|
Timothy J Axelson, CRNA 35 Medical Center Pkwy, Augusta, ME 04330-8160 Ph: (207) 622-1959 | Timothy J Axelson, CRNA 149 North St, Waterville, ME 04901-4974 Ph: (207) 622-1959 |
Martha Jean Ponitz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1270 | |
Maureen Dole, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 325a Kennedy Memorial Dr, Waterville, ME 04901 Phone: 207-873-2731 Fax: 207-873-1106 | |
Susan Horsman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-622-1959 Fax: 207-430-4007 | |
June Nelson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-622-1959 Fax: 270-430-4007 | |
Gary Thornberg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-622-1959 Fax: 207-430-4007 |