Edward K Fuller, CRNA | |
7160 Rafael Rivera Way Ste 210, Las Vegas, NV 89113-5395 | |
(702) 878-0070 | |
(702) 805-0307 |
Full Name | Edward K Fuller |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 7160 Rafael Rivera Way Ste 210, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851321301 | NPI | - | NPPES |
136145 | Medicaid | AZ | |
250023986 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 848145 (Nevada) | Primary |
Entity Name | Mission Nursing Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20151130000657 |
Mailing Address | Practice Location Address |
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Edward K Fuller, CRNA Po Box 840857, Dallas, TX 75284-0857 Ph: (725) 204-4632 | Edward K Fuller, CRNA 7160 Rafael Rivera Way Ste 210, Las Vegas, NV 89113-5395 Ph: (702) 878-0070 |
Morgan Che' Beeson, RN, MSN, CCRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9127 W Russell Rd Ste 110, Las Vegas, NV 89148 Phone: 702-878-0070 Fax: 702-209-2064 | |
Gian Fule, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 Fax: 702-209-2064 | |
Edgar Escobar, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 | |
Johnette M Seecof, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-877-8661 | |
Mr. David Thomas Kwiatkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6008 Ridgecarn Ave, Las Vegas, NV 89130 Phone: 702-644-2124 | |
Kristi Vick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3186 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-878-0070 | |
Mr. Vance Glenn Gainer Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Las Vegas, NV 89191 Phone: 702-653-3526 |