Jorge Montequin, | |
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
(707) 423-3339 | |
Not Available |
Full Name | Jorge Montequin |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 101 Bodin Cir, Travis Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144954140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 11020764 (Florida) | Primary |
Entity Name | Vallot Nurse Anesthesia, A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811386246 PECOS PAC ID: 8820319213 Enrollment ID: O20150611000001 |
Entity Name | Baec Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114446291 PECOS PAC ID: 7214293430 Enrollment ID: O20171103002022 |
Entity Name | Green Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457039331 PECOS PAC ID: 6103270566 Enrollment ID: O20231004000338 |
Mailing Address | Practice Location Address |
---|---|
Jorge Montequin, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3339 | Jorge Montequin, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3339 |
Mr. Martin Ockert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3589 | |
Mr. Jerry Edward Glattfelt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, CA 94535 Phone: 707-423-5370 | |
Mr. David Lee Perkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 708-423-3589 | |
Michael Millar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339 | |
Shawna Mills Greiner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3583 | |
Gregory John Miles, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3605 |