| Carly L Fore, CRNA | |
|
1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | |
| (719) 365-6999 | |
| Not Available |
| Full Name | Carly L Fore |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1400 E Boulder St Ste 2508, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487905758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN9220923 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN.0993600-CRNA (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1607 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly L Fore, CRNA 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-4034 | Carly L Fore, CRNA 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 Ph: (719) 365-6999 |
Robert A. Rota, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 320 E Fontanero St, Ste 101, Colorado Springs, CO 80907 Phone: 719-227-9711 | |
Audrey Sonin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Juana Lopez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Blair Beougher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Colorado Springs, CO 80913 Phone: 719-526-7000 | |
David James Stamps, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6502 Cabana Cir, Colorado Springs, CO 80923 Phone: 719-661-8674 | |
Brent Jon Persons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 Southpointe Ct Ste 107, Colorado Springs, CO 80906 Phone: 719-203-6111 Fax: 877-247-9218 | |
Bryan Scott Ferrara, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913 Phone: 719-526-5231 |