Carolyn Frances Kenngott, CRNA | |
1171 W Target Range Rd, Nogales, AZ 85621-2415 | |
(520) 285-3000 | |
Not Available |
Full Name | Carolyn Frances Kenngott |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 48 Years |
Location | 1171 W Target Range Rd, Nogales, Arizona |
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 |
---|---|---|---|
1659333078 | NPI | - | NPPES |
599761 | Medicaid | AZ | |
Z145034 | Other | AZ | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CRNA0689 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Copper Queen Community Hospital | Bisbee, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bisbee Hospital Association | 5092626168 | 44 |
Entity Name | Bisbee Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007 |
Entity Name | Medical Services Of Southern Arizona |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871985366 PECOS PAC ID: 0345568424 Enrollment ID: O20150422000540 |
Entity Name | Tucson Physician Group Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261 |
Mailing Address | Practice Location Address |
---|---|
Carolyn Frances Kenngott, CRNA 2202 N Forbes Blvd, Tucson, AZ 85745-1412 Ph: (520) 872-7536 | Carolyn Frances Kenngott, CRNA 1171 W Target Range Rd, Nogales, AZ 85621-2415 Ph: (520) 285-3000 |
Mr. Stephen A Henefield, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-8010 | |
Amos Herr Wilkinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
Mr. Kerry Donn Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
James Lindsey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 Phone: 520-287-4020 Fax: 520-287-2348 | |
John A. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747 | |
Leon Francis Deisering, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 Phone: 520-287-4020 Fax: 520-287-2348 |