Joshua Lake, | |
1501 E 3rd St, Delta, CO 81416-2815 | |
(970) 874-7681 | |
Not Available |
Full Name | Joshua Lake |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 1501 E 3rd St, Delta, Colorado |
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 |
---|---|---|---|
1356863625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | NA (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0996084 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Delta County Memorial Hospital | Delta, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delta County Memorial Hospital | 1850200601 | 60 |
Entity Name | Delta County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417935446 PECOS PAC ID: 1850200601 Enrollment ID: O20040113000653 |
Mailing Address | Practice Location Address |
---|---|
Joshua Lake, 1540 S Lake George Dr, Mishawaka, IN 46545-4065 Ph: (574) 520-3149 | Joshua Lake, 1501 E 3rd St, Delta, CO 81416-2815 Ph: (970) 874-7681 |
Mr. Carey B Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-2255 | |
Clint B Pitchforth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-6400 | |
Kimberley W Brighton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Christine A Hamilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Kathy R Akers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Holly G Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-6400 |