Kayla Jane Elwood, | |
3701 12th St N, Suite 202, Saint Cloud, MN 56303-2255 | |
(320) 258-3090 | |
Not Available |
Full Name | Kayla Jane Elwood |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3701 12th St N, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023358546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 0195 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | R 167267-3 (Minnesota) | Primary |
Entity Name | Anesthesiology, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013960798 PECOS PAC ID: 9335033034 Enrollment ID: O20040212000459 |
Entity Name | St Cloud Outpatient Surgery Ltd |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1124084843 PECOS PAC ID: 6800877622 Enrollment ID: O20040527000651 |
Entity Name | Certified Anesthesia Care Co |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699736348 PECOS PAC ID: 9436439114 Enrollment ID: O20161215001488 |
Mailing Address | Practice Location Address |
---|---|
Kayla Jane Elwood, 9875 Hospital Dr, Maple Grove, MN 55369-4648 Ph: (763) 581-1000 | Kayla Jane Elwood, 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2255 Ph: (320) 258-3090 |
Craig Tangen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090 | |
Kimberly Huschle, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090 | |
Stephany S Latunski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Penny Renee Janorschke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1406 6th St N, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7092 | |
Nicholas M Lejcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Bertil Lindquist, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N Ste 202, Saint Cloud, MN 56303 Phone: 320-258-3090 Fax: 320-258-3095 |