Mary Kathleen Magnusen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kodiak, AK

Mary Kathleen Magnusen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kodiak, Alaska. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Providence Health And Services Washington and her current practice location is 1915 E Rezanof Dr, Kodiak, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 486-9500.

Mary Kathleen Magnusen is licensed to practice in Alaska (license number NURA325) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750427902.

Contact Information

Mary Kathleen Magnusen, CRNA
1915 E Rezanof Dr,
Kodiak, AK 99615
(907) 486-9500
Not Available



Provider's Profile

Full NameMary Kathleen Magnusen
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience18 Years
Location1915 E Rezanof Dr, Kodiak, Alaska
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Kathleen Magnusen graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1750427902
  • Provider Enumeration Date: 01/29/2007
  • Last Update Date: 05/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123127008
  • Enrollment ID: I20180309001792

Medical Identifiers

Medical identifiers for Mary Kathleen Magnusen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750427902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered NURA325 (Alaska)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Washington579967512015

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Kathleen Magnusen allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952430902
PECOS PAC ID: 5799675120
Enrollment ID: O20040318000605

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Entity NameDenali Anesthesia, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508854712
PECOS PAC ID: 2567455678
Enrollment ID: O20040405001747

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Entity NameProvidence Health & Services Washington
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1013905660
PECOS PAC ID: 5799675120
Enrollment ID: O20041221000920

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Entity NameBirch Mountain Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558840306
PECOS PAC ID: 4981957792
Enrollment ID: O20181024002876

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Entity NameKenai Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861032914
PECOS PAC ID: 6901235118
Enrollment ID: O20200408003725

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Kathleen Magnusen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Kathleen Magnusen, CRNA
Po Box 3706,
Portland, OR 97208-3706

Ph: (866) 907-1068
Mary Kathleen Magnusen, CRNA
1915 E Rezanof Dr,
Kodiak, AK 99615

Ph: (907) 486-9500

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› Verified 9 days ago


Nurse Anesthetist, Certified Registered Nurses in Kodiak, AK

Cynthia M Parent,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-223-7513    
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

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