Kyle Richard Lusk, CRNA | |
211 Sudderth Dr, Ruidoso, NM 88345-6043 | |
(575) 257-8200 | |
Not Available |
Full Name | Kyle Richard Lusk |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 211 Sudderth Dr, Ruidoso, New Mexico |
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 |
---|---|---|---|
1922517820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 251088 (Arizona) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA-01535 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lincoln County Medical Center | Ruidoso, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sleepy Plains Anesthesia Llc | 4284960352 | 11 |
Entity Name | Anesthesia Associates Of New Mexico P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912900754 PECOS PAC ID: 4385536564 Enrollment ID: O20040325000455 |
Entity Name | Sleepy Plains Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265090344 PECOS PAC ID: 4284960352 Enrollment ID: O20190726001196 |
Mailing Address | Practice Location Address |
---|---|
Kyle Richard Lusk, CRNA 137 Dancing Star Trl, Alto, NM 88312-9522 Ph: (575) 937-8303 | Kyle Richard Lusk, CRNA 211 Sudderth Dr, Ruidoso, NM 88345-6043 Ph: (575) 257-8200 |
Michael David Noltensmeyer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-7381 Fax: 505-260-4338 | |
Steven J. Raterman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-7381 Fax: 505-260-4338 |