Kyle Me Ellison, CRNA | |
200 1st St Sw, Rochester, MN 55905-0001 | |
(507) 284-2511 | |
Not Available |
Full Name | Kyle Me Ellison |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 200 1st St Sw, Rochester, Minnesota |
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 |
---|---|---|---|
1417122078 | NPI | - | NPPES |
ENROLLED | Medicaid | IA | |
ENROLLED | Medicaid | MN | |
ENROLLED | Medicaid | WI | |
P00787799 | Other | MN | MEDICARE - RAIL ROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R144605-8 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Region Healthcare Corporation | Fergus falls, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Region Healthcare Corporation | 3971565334 | 114 |
Entity Name | Prairie Ridge Hospital And Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407838329 PECOS PAC ID: 0648222349 Enrollment ID: O20050210000490 |
Entity Name | Lake Region Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
Mailing Address | Practice Location Address |
---|---|
Kyle Me Ellison, CRNA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Kyle Me Ellison, CRNA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Emmanuel J Lujero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Amy Jo Neveau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Jennifer Charlebois, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joella Horner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Seth Kenton Mogler, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Abigail Pinto Wood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Mrs. Stephanie Marie Cabler, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |