Mr Mitchell H Bailey, CRNA | |
167 North Main Street, Tuba City, AZ 86045-0600 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | Mr Mitchell H Bailey |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 167 North Main Street, Tuba 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 |
---|---|---|---|
1235172438 | NPI | - | NPPES |
852641 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 043046 (Illinois) | Primary |
Entity Name | Blue Mountain Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558513812 PECOS PAC ID: 0749344661 Enrollment ID: O20090203000527 |
Entity Name | Blue Mountain Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1558513812 PECOS PAC ID: 0749344661 Enrollment ID: O20100517000228 |
Mailing Address | Practice Location Address |
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Mr Mitchell H Bailey, CRNA Po Box 600, 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 | Mr Mitchell H Bailey, CRNA 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 |
Arline C Winfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Mr. Roy E Cooper Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Jennifer Laroche, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-3601 Fax: 928-283-2677 | |
Matthew Alan Mcghee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 |