Derek Ryan Allen, CRNA | |
6644 E Baywood Ave, Mesa, AZ 85206-1747 | |
(480) 321-2000 | |
Not Available |
Full Name | Derek Ryan Allen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 6644 E Baywood Ave, Mesa, Arizona |
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 |
---|---|---|---|
1912547597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN174073 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Baywood Medical Center | Mesa, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Partners Of Arizona Llc | 8628317179 | 184 |
Entity Name | Anesthesia Partners Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
Mailing Address | Practice Location Address |
---|---|
Derek Ryan Allen, CRNA 1101 N Gilbert Rd Apt 1111, Gilbert, AZ 85234-8611 Ph: (480) 294-9223 | Derek Ryan Allen, CRNA 6644 E Baywood Ave, Mesa, AZ 85206-1747 Ph: (480) 321-2000 |
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Juancho C. Depaolo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 S Crismon Rd, Mesa, AZ 85209 Phone: 800-402-0881 | |
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