Individual ProviderMary Elledge SabetiNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1153 Centre St, Jamaica Plain, MA 02130-3446(617) 983-7000PECOS EnrollmentBased on the most recent information from CMS, provider Mary Elledge Sabeti does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1912949140Provider TypeIndividualFull NameSabeti, Mary ElledgeCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date6/12/2006Last Updated7/21/2022Contact InformationPractice LocationPractice Address1153 Centre St, Jamaica Plain, MA 02130-3446Phone(617) 983-7000FaxUnlisted FaxMailing LocationMailing Address1153 Centre St, Jamaica Plain, MA 02130-3446Phone(617) 983-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN217803MassachusettsCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense070270Massachusetts