Mr Jordan David Foster, RN | |
127 Romanza Ln, Palm Desert, CA 92211-0777 | |
(517) 256-3944 | |
Not Available |
Full Name | Mr Jordan David Foster |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 127 Romanza Ln, Palm Desert, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508503509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28252823A (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 138955 (Indiana) | Primary |
Entity Name | Mission Nursing Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20151130000657 |
Entity Name | Coachella Valley Anesthesia A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
Mailing Address | Practice Location Address |
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Mr Jordan David Foster, RN 3108 Canterbury Blvd Apt 1, Fort Wayne, IN 46835-3228 Ph: (517) 256-3944 | Mr Jordan David Foster, RN 127 Romanza Ln, Palm Desert, CA 92211-0777 Ph: (517) 256-3944 |
Eva Csillag, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44139 Monterey Ave Ste B, Palm Desert, CA 92260 Phone: 800-898-2020 | |
Mrs. Kimberly Agupitan Powers, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 44139 Monterey Ave Ste B, Palm Desert, CA 92260 Phone: 760-773-4411 |