Mary C Phung is a Beaver Dam, Wisconsin based nurse anesthetist with 11 years of experience as Anesthesia Administration. She completed she graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mary C Phung is 5896 for Anesthesia Administration in Wisconsin. Her current practice location is 707 S University Ave, Beaver Dam. Patients can reach her at 920-887-7181. Mary C Phung is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1265841589. Mary C Phung is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mary C Phung speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
11+ years
Medical School Attended:
Other
Graduation Year:
2014
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
707 S University Ave, Beaver Dam, Wisconsin, 53916-3027
Phone:
920-887-7181
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8224257993
Enrollment ID:
I20140910002123
NPI Number:
1265841589
NPI Enumeration Date:
12 Aug, 2014
NPI Last Update On:
18 Mar, 2024
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary C Phung are as mentioned below.
License Number
Specialization
State
Status
5896
Anesthesia Administration
Wisconsin
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Berlin Memorial Hospital (521355)
Berlin, WI
Critical Access Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mary C Phung has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Association Of Hospital Anesthesiologists Sc (3476539875)
76
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary C Phung such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1265841589
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
707 S University Ave, Beaver Dam, Wisconsin
Zip:
53916-3027
Phone Number:
920-887-7181
Fax Number:
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Patients can reach Mary C Phung at 707 S University Ave, Beaver Dam, Wisconsin or can call to book an appointment on 920-887-7181.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.