Daniel Everett Fuller, CRNA | |
1425 S Main St, Walnut Creek, CA 94596-5318 | |
(925) 295-4000 | |
Not Available |
Full Name | Daniel Everett Fuller |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 1425 S Main St, Walnut Creek, California |
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 |
---|---|---|---|
1770957094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95000418 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Daniel Everett Fuller, CRNA 3908 Renner St, Carmichael, CA 95608-2629 Ph: (916) 944-0336 | Daniel Everett Fuller, CRNA 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4000 |
Michelle Cable Vu, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Mr. Brett James Coleman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 510-295-4000 | |
Mrs. Connie M Tracy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665 | |
Anthony Trejo, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Rosemary W Kanake, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1470 Creekside Dr Apt 3, Walnut Creek, CA 94596 Phone: 314-461-1058 | |
Amy Elizabeth Bode, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4739 | |
Isabelita Gecale Puruganan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665 Fax: 925-295-6116 |