Kirt Rosenlof, CRNA | |
807 S Ponderosa St, Payson, AZ 85541-5542 | |
(602) 273-6770 | |
(602) 889-0489 |
Full Name | Kirt Rosenlof |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 807 S Ponderosa St, Payson, Arizona |
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 |
---|---|---|---|
1831100536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CRNA0525 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwestern Eye Center, Ltd | 1850296989 | 102 |
Northeastern Anesthesia Pllc | 4284813940 | 20 |
Entity Name | Southwestern Eye Center, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063187 PECOS PAC ID: 1850296989 Enrollment ID: O20031203000181 |
Entity Name | Northeastern Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
Mailing Address | Practice Location Address |
---|---|
Kirt Rosenlof, CRNA Po Box 29211, Phoenix, AZ 85038-9211 Ph: (602) 273-6770 | Kirt Rosenlof, CRNA 807 S Ponderosa St, Payson, AZ 85541-5542 Ph: (602) 273-6770 |
Loran C Jacobs Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 602-273-6770 Fax: 602-889-0483 | |
Brooke Mcphee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-471-3222 | |
Guy Caraffa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 602-273-6770 Fax: 602-889-0489 | |
Mr. Jacob Troy Russell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-472-1273 |