Amanda Lynn Rae, CRNA | |
700 Lawrence Expy, Santa Clara, CA 95051-5173 | |
(410) 591-3500 | |
Not Available |
Full Name | Amanda Lynn Rae |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 700 Lawrence Expy, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013513167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 0024184271 (Virginia) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 95001449 (California) | Secondary |
Entity Name | American Anesthesiology Of Virginia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
Entity Name | Anesthesia Physician Solutions Of Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922518877 PECOS PAC ID: 0840551701 Enrollment ID: O20180309002214 |
Entity Name | Surgical Anesthesia Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20230130001161 |
Mailing Address | Practice Location Address |
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Amanda Lynn Rae, CRNA 4160 Woodford Dr, San Jose, CA 95124-3741 Ph: (410) 591-3500 | Amanda Lynn Rae, CRNA 700 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (410) 591-3500 |
Miss Patricia Marie Melia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-231-7371 | |
Ms. Sheau-ying Ding, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Sydnie Dong, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Ms. Karen Dianne Scates, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-236-5742 | |
Valerie K Petty, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 559-448-4500 | |
Mrs. Mary Jane Ngee Leung, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-5530 |