Kirk E Lott, CRNA | |
1800 Spring Ridge Dr, Susanville, CA 96130-6100 | |
(530) 252-2000 | |
(530) 252-2241 |
Full Name | Kirk E Lott |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 24 Years |
Location | 1800 Spring Ridge Dr, Susanville, California |
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 |
---|---|---|---|
1891768271 | NPI | - | NPPES |
67157068 | Medicaid | CO | |
NM006947 | Other | NM | BCBS |
P00124198 | Other | NM | RR MEDICARE |
201045802 | Other | NM | PRESBYTERIAN HP |
847402 | Medicaid | AZ | |
63136881 | Medicaid | NM | |
10008783 | Other | NM | LOVELACE HP |
T0043 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R50620 (New Mexico) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3947 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Churchill Community Hospital | Fallon, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Collins Carson City Anesthesia Llc | 5799141016 | 10 |
Lifelinc Anesthesia Nevada Pc | 8921431800 | 4 |
Entity Name | Gastroenterology Consultants Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144218512 PECOS PAC ID: 0941107478 Enrollment ID: O20031215000151 |
Entity Name | Lifelinc Anesthesia Nevada Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851950463 PECOS PAC ID: 8921431800 Enrollment ID: O20191206001221 |
Entity Name | Collins Carson City Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285330423 PECOS PAC ID: 5799141016 Enrollment ID: O20230511002066 |
Mailing Address | Practice Location Address |
---|---|
Kirk E Lott, CRNA 1800 Spring Ridge Dr, Susanville, CA 96130-6100 Ph: (530) 252-2000 | Kirk E Lott, CRNA 1800 Spring Ridge Dr, Susanville, CA 96130-6100 Ph: (530) 252-2000 |
Gary Lyle Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1800 Spring Ridge Dr, Susanville, CA 96130 Phone: 530-252-2000 |