Mary C. Phung, CRNA
NPI 1265841589ActiveIndividual· Nurse Anesthetist, Certified Registered· Beaver Dam, WI
Nurse Anesthetist, Certified Registered (CRNA) with Beaver Dam Community Hospitals Inc., practicing in Beaver Dam, Wisconsin. Medicare paid $4,297 for services to 60 patients in 2024. Lists Marshfield Medical Center - Beaver Dam (Mmc-Bd) as a hospital affiliation.
Overview
| NPI | 1265841589 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Aug 12, 2014 |
| Last updated in NPPES | Mar 18, 2024 |
| Certified by provider | Aug 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 5896 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 60 across 16 procedure codes |
| Paid by Medicare | $4,297 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Beaver Dam Community Hospitals Inc.Beaver Dam, WI · 62 clinicians
Hospital affiliation
- Marshfield Medical Center - Beaver Dam (Mmc-Bd)Beaver Dam, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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