Mary Phung (NPI# 1265841589, PAC ID# 8224257993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1265841589 |
| PAC ID by PECOS | 8224257993 |
| Professional Enrollment ID | I20140910002123 |
| Full Name | Mary Phung |
| Organization Legal Name | THEDACARE MEDICAL CENTER- BERLIN INC |
| Address |
225 Memorial Dr Berlin WI 54923-1243 |
| Phone Number | 9203611313 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0446151666 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521355 | BERLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 225 Memorial Dr, Berlin, WI 54923-1243 | 9203611313 | THEDACARE MEDICAL CENTER- BERLIN INC |
| Organization Legal Name | THEDACARE MEDICAL CENTER- BERLIN INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica J Tomasiewicz | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Tony D Singh | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Keith A Krause | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Thomas Simpkins | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Steven C Blaha | Internal Medicine | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Daniel J Resop | Anesthesiology | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Naohide Arakaki | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Franklin J Mcshane | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Dustin W Axe | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Joseph P Lafeve | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Street Address |
225 MEMORIAL DR |
| City | BERLIN |
| State | WI |
| Zip | 54923-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica J Tomasiewicz | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Daniel K Lemberger | Nurse Practitioner | Thedacare Incorporated | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Tony D Singh | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Keith A Krause | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Horace P Lo | General Surgery | Thedacare Incorporated | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Kristen J Nickelatti | Nurse Practitioner | Thedacare Incorporated | 225 Memorial Dr, Suite 2010, Berlin, WI 54923-1243 |
| Michelle L Lichtenberg | Nurse Practitioner | Thedacare Incorporated | 225 Memorial Dr, Suite 1100, Berlin, WI 54923-1243 |
| Robert G Sarsfield | Vascular Surgery | Thedacare Incorporated | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Thomas Simpkins | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Abigail K Puglisi | Family Medicine | Thedacare Incorporated | 225 Memorial Dr, Suite 1200, Berlin, WI 54923-1243 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista M Solarek | Physician Assistant | Thedacare Incorporated | 191 Memorial Dr, Berlin, WI 54923-1241 |
| Lynn A Ringenoldus | Nurse Practitioner | Thedacare Incorporated | 191 Memorial Dr, Berlin, WI 54923-1241 |
| David R Jones | Orthopedic Surgery | Thedacare Incorporated | 191 Memorial Dr, Berlin, WI 54923-1241 |
| Eric W Newgent | Family Practice | Thedacare Incorporated | 191 Memorial Dr, Berlin, WI 54923-1241 |
| Craig S Chertack | Orthopedic Surgery | Thedacare Incorporated | 191 Memorial Dr, Suite 200, Berlin, WI 54923-1241 |
| Tammi L Sawallish | Optometry | Berlin Family Eye Care Sc | 269 Memorial Dr, Suite 103, Berlin, WI 54923-1243 |
| Douglas A Bartelt | Nurse Practitioner | The Neuroscience Group of Northeast Wisconsin Sc | 191 Memorial Dr, Berlin, WI 54923-1243 |
| Juan A Albino Rodriguez | Physical Medicine and Rehabilitation | The Neuroscience Group of Northeast Wisconsin Sc | 191 Memorial Dr, Berlin, WI 54923-1243 |
| Effie E Siomos | Obstetrics/gynecology | Womens Care of Wisconsin Sc | 225 Memorial Dr, Suite 2030, Berlin, WI 54923-1243 |
| Michael A Puglisi | Physician Assistant | Thedacare Incorporated | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Find all physicians in zip 54923 | |||
| City | BERLIN |
| Zip Code | 54923 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BERLIN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Mary Phung.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.