Mary M Mcclellan, CRNA | |
2000 Boise Ave, Loveland, CO 80538-5006 | |
(970) 669-4640 | |
Not Available |
Full Name | Mary M Mcclellan |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2000 Boise Ave, Loveland, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497746879 | NPI | - | NPPES |
36832375 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 62279 (Colorado) | Primary |
Entity Name | Rocky Mountain State Anesthesia Providers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730692054 PECOS PAC ID: 8729349444 Enrollment ID: O20180220003107 |
Mailing Address | Practice Location Address |
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Mary M Mcclellan, CRNA Po Box 52631, Phoenix, AZ 85072-2631 Ph: (970) 395-7878 | Mary M Mcclellan, CRNA 2000 Boise Ave, Loveland, CO 80538-5006 Ph: (970) 669-4640 |
Scott A. Gerardy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Boise Ave, Loveland, CO 80538 Phone: 970-669-4640 | |
Holley Caballes Harris, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 E 13th St Ste 220, Loveland, CO 80537 Phone: 970-669-5432 | |
Cynthia L Keyfauver, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2204 Hoffman Dr, Ste A, Loveland, CO 80538 Phone: 970-667-9794 Fax: 970-663-6336 | |
Jeffrey R Fryer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Boise Ave, Loveland, CO 80538 Phone: 970-810-4819 Fax: 970-378-4015 | |
Frank A Hartley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Boise Ave, Loveland, CO 80538 Phone: 970-669-4640 | |
Paige Haley Longberg, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 Rocky Mountain Ave, Loveland, CO 80538 Phone: 970-624-2500 |