Jon M Gutierrez, CRNA | |
720 Hospital Dr, Andrews, TX 79714-3617 | |
(432) 464-2483 | |
(432) 464-2567 |
Full Name | Jon M Gutierrez |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 27 Years |
Location | 720 Hospital Dr, Andrews, Texas |
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 |
---|---|---|---|
1992790737 | NPI | - | NPPES |
193544702 | Medicaid | TX | |
193544701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 621408 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Joseph's Hospital And Medical Center | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pca Anesthesia | 1658675558 | 41 |
Entity Name | Pca Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164804258 PECOS PAC ID: 1658675558 Enrollment ID: O20160215000555 |
Mailing Address | Practice Location Address |
---|---|
Jon M Gutierrez, CRNA 720 Hospital Dr, Andrews, TX 79714-3617 Ph: (432) 464-2200 | Jon M Gutierrez, CRNA 720 Hospital Dr, Andrews, TX 79714-3617 Ph: (432) 464-2483 |
Michael D Parker, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 720 Hospital Dr, Andrews, TX 79714 Phone: 432-523-2200 Fax: 432-464-2180 | |
Evan Brian Whipple, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 720 Hospital Dr, Andrews, TX 79714 Phone: 325-675-6466 Fax: 325-692-6030 | |
Robert Stan Leeper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 720 Hospital Dr, Andrews, TX 79714 Phone: 432-523-2200 Fax: 432-464-2180 |