Jennifer A Crownhart, CRNA | |
1020 N. San Francisco St., Flagstaff, AZ 86001 | |
(928) 699-9448 | |
Not Available |
Full Name | Jennifer A Crownhart |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1020 N. San Francisco St., Flagstaff, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639252125 | NPI | - | NPPES |
394974 | Medicaid | AZ | |
430053651 | Other | AZ | RAIL ROAD MEDICARE |
AZ0090910 | Other | AZ | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN097480 (Arizona) | Primary |
Entity Name | Dec Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093006520 PECOS PAC ID: 9335319086 Enrollment ID: O20110907001087 |
Entity Name | Summit Anesthesia Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821589144 PECOS PAC ID: 3971850892 Enrollment ID: O20180724002694 |
Mailing Address | Practice Location Address |
---|---|
Jennifer A Crownhart, CRNA 1780 E Appalachian Rd, Flagstaff, AZ 86004-1718 Ph: (928) 699-9448 | Jennifer A Crownhart, CRNA 1020 N. San Francisco St., Flagstaff, AZ 86001 Ph: (928) 699-9448 |
Elizabeth Gilmore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Jack Gilbert Weiss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 | |
Benjamin Henrie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Linda Allsop, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 | |
James Dean Bohn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 | |
Elizabeth Parker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Tara Dupuy Herrero, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1840 N Jasper Dr Ste 1, Flagstaff, AZ 86001 Phone: 928-558-7001 |