Dr Miranda Jackson, CRNA | |
1801 16th St, Greeley, CO 80631-5154 | |
(970) 810-4121 | |
Not Available |
Full Name | Dr Miranda Jackson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 2 Years |
Location | 1801 16th St, Greeley, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447888243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9509988 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 138117 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Colorado Medical Center | Greeley, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rocky Mountain State Anesthesia Providers | 8729349444 | 46 |
Entity Name | Rocky Mountain State Anesthesia Providers |
---|---|
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 |
---|---|
Dr Miranda Jackson, CRNA 11583 E 118th Pl, Commerce City, CO 80640-7419 Ph: (303) 522-2941 | Dr Miranda Jackson, CRNA 1801 16th St, Greeley, CO 80631-5154 Ph: (970) 810-4121 |
Paula Sylvester, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 North16th Ave, Greeley, CO 80631 Phone: 970-810-4819 | |
Jesse Travis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-4819 Fax: 970-810-4015 | |
Mr. John Bernard Howerter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St # 800631, Greeley, CO 80631 Phone: 970-350-6639 | |
Katherine Bliss, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-815-3860 | |
Ashley Jordan Bailes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-4121 | |
Caitlin E O'connor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-420-0905 | |
Ms. Mary Susan Haskett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-392-2352 Fax: 970-350-6454 |