Mathias Darrell Rupp, CRNA | |
77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 | |
(928) 773-2505 | |
(928) 773-2504 |
Full Name | Mathias Darrell Rupp |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 77 W Forest Ave Ste 117, Flagstaff, 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 |
---|---|---|---|
1164822920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 256689 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA1070 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwestern Eye Center, Ltd | 1850296989 | 102 |
Tuba City Regional Health Care Corporation | 4284542531 | 126 |
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 | Barnet Dulaney Perkins Eye Center, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376574707 PECOS PAC ID: 0749288298 Enrollment ID: O20061117000349 |
Entity Name | Southwest Anesthesia Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124649389 PECOS PAC ID: 6305260878 Enrollment ID: O20200717000480 |
Mailing Address | Practice Location Address |
---|---|
Mathias Darrell Rupp, CRNA 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 Ph: (928) 773-2505 | Mathias Darrell Rupp, CRNA 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 Ph: (928) 773-2505 |
Elizabeth Gilmore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Jack Gilbert Weiss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 | |
Benjamin Henrie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Linda Allsop, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 | |
James Dean Bohn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 | |
Elizabeth Parker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Tara Dupuy Herrero, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1840 N Jasper Dr Ste 1, Flagstaff, AZ 86001 Phone: 928-558-7001 |