Gary D Kliewer, CRNA | |
2400 Edison St, Brush, CO 80723-1642 | |
(970) 842-6200 | |
(970) 842-3572 |
Full Name | Gary D Kliewer |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2400 Edison St, Brush, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245208859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN70205 (Colorado) | Primary |
Entity Name | St. Vincent General Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497710958 PECOS PAC ID: 4587574884 Enrollment ID: O20040316001421 |
Entity Name | Wray Community District Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477587202 PECOS PAC ID: 3274425038 Enrollment ID: O20040326000383 |
Entity Name | East Phillips County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891733879 PECOS PAC ID: 9638161615 Enrollment ID: O20040331000584 |
Entity Name | Kit Carson County Health Services District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932211596 PECOS PAC ID: 4385637917 Enrollment ID: O20040407001317 |
Entity Name | Lincoln Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1720107519 PECOS PAC ID: 8729987219 Enrollment ID: O20101018001199 |
Entity Name | Lincoln Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720107519 PECOS PAC ID: 8729987219 Enrollment ID: O20161208000347 |
Entity Name | Wray Community District Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1083640239 PECOS PAC ID: 3274425038 Enrollment ID: O20161220001701 |
Mailing Address | Practice Location Address |
---|---|
Gary D Kliewer, CRNA 1441 N 12th St, Phoenix, AZ 85006-2837 Ph: (602) 495-4577 | Gary D Kliewer, CRNA 2400 Edison St, Brush, CO 80723-1642 Ph: (970) 842-6200 |
Ms. Heidi A Reed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 Edison St, Brush, CO 80723 Phone: 970-842-6200 |