Mrs Debra Valdivieso, CRNA | |
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
(210) 916-9404 | |
Not Available |
Full Name | Mrs Debra Valdivieso |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023468741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 136453 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194473066 PECOS PAC ID: 8628980943 Enrollment ID: O20220620000485 |
Mailing Address | Practice Location Address |
---|---|
Mrs Debra Valdivieso, CRNA 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-9404 | Mrs Debra Valdivieso, CRNA 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-9404 |
Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 253-223-6272 | |
Dr. Adam Sokolowski, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-8216 | |
Matthew Wayne Mcgregor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Heather Sherman Leal, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8534 | |
Kendal W Miller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588 | |
George C May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588 |