Antonio Samuel Gervais, CRNA, RN | |
455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | |
(505) 913-3043 | |
Not Available |
Full Name | Antonio Samuel Gervais |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 455 Saint Michaels Dr, Santa Fe, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912510165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 310047 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 134946 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Medical Center-springdale | Springdale, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capital Anesthesia Solutions Of Arkansas, Llc | 5395159313 | 73 |
Entity Name | Capital Anesthesia Solutions Of Arkansas, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174125876 PECOS PAC ID: 5395159313 Enrollment ID: O20210202001530 |
Mailing Address | Practice Location Address |
---|---|
Antonio Samuel Gervais, CRNA, RN 499 N 880 E, Springville, UT 84663-1156 Ph: (801) 687-8382 | Antonio Samuel Gervais, CRNA, RN 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (505) 913-3043 |
Ms. Mary Eileen Rodkey, RN, BSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr, Santa Fe, NM 87505 Phone: 505-323-7200 | |
David Gallagher, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-983-3361 | |
Sarah Louise Dufort, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-3361 | |
Ms. Kathleen Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Ob Unit, Santa Fe, NM 87505 Phone: 505-820-5554 Fax: 505-820-5440 | |
Ying Xiong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-5368 | |
Rachel Haase Donahue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1896 Lorca Dr Apt 93, Santa Fe, NM 87505 Phone: 480-206-7691 | |
Mr. James Humphrey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-820-5554 |