Mr Alexis Perez, CRNA | |
2735 Silver Creek Rd, Bullhead City, AZ 86442-7924 | |
() - | |
Not Available |
Full Name | Mr Alexis Perez |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2735 Silver Creek Rd, Bullhead City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023774700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 304095 (Arizona) | Primary |
163W00000X | Registered Nurse | 9439764 (Florida) | Secondary |
Entity Name | Antigua Anesthesia Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912502055 PECOS PAC ID: 3870908676 Enrollment ID: O20210208002425 |
Mailing Address | Practice Location Address |
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Mr Alexis Perez, CRNA 10801 Sw 109th Ct Apt D203, Miami, FL 33176-3320 Ph: (786) 291-3310 | Mr Alexis Perez, CRNA 2735 Silver Creek Rd, Bullhead City, AZ 86442-7924 Ph: () - |
Danielle Jordan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-2273 | |
Christian Beesley, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-2273 | |
Joshua Douglas Harper, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 503-936-7730 | |
Barry H Latimer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 602-273-6770 Fax: 602-889-0489 | |
Robert C Knipper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-2273 |