Mr Carey B Simon, CRNA | |
1501 E 3rd St, Delta, CO 81416-2815 | |
(970) 874-2255 | |
Not Available |
Full Name | Mr Carey B Simon |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 1501 E 3rd St, Delta, Colorado |
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 |
---|---|---|---|
1033428941 | NPI | - | NPPES |
84143963015 | Medicaid | NE | |
P01410586 | Other | CO | RR MEDICARE |
15905535 | Medicaid | CO | |
138996300 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C-APN.0000092 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Delta County Memorial Hospital | Delta, CO | Hospital |
Sterling Regional Medcenter | Sterling, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delta County Memorial Hospital | 1850200601 | 60 |
Lifelinc Anesthesia Colorado Llc | 7911260534 | 8 |
Entity Name | Delta County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417935446 PECOS PAC ID: 1850200601 Enrollment ID: O20040113000653 |
Entity Name | Guardian Anesthesia Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013946797 PECOS PAC ID: 8820030455 Enrollment ID: O20050524001161 |
Entity Name | Lifelinc Anesthesia Colorado Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558863415 PECOS PAC ID: 7911260534 Enrollment ID: O20180413000065 |
Mailing Address | Practice Location Address |
---|---|
Mr Carey B Simon, CRNA 13950 Larkspur Dr, Montrose, CO 81403-9387 Ph: (720) 939-5138 | Mr Carey B Simon, CRNA 1501 E 3rd St, Delta, CO 81416-2815 Ph: (970) 874-2255 |
Clint B Pitchforth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-6400 | |
Kimberley W Brighton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Christine A Hamilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Kathy R Akers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Joshua Lake, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Holly G Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-6400 |