Mr Timothy Brett Burnett, CRNA | |
4212 N 16th St, Phoenix, AZ 85016-5319 | |
(602) 263-1511 | |
(602) 263-1637 |
Full Name | Mr Timothy Brett Burnett |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4212 N 16th St, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912001959 | NPI | - | NPPES |
AZ0144740 | Other | AZ | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 049951-21 (New Hampshire) | Primary |
Entity Name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy Brett Burnett, CRNA Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1511 | Mr Timothy Brett Burnett, CRNA 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1511 |
Jenny Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 | |
Rufus Lee Casey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
Maria M Valentin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 | |
Michelle Minta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 | |
Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 | |
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988 | |
Leila Mclawhorn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5039 |