| Nicole Amber Dewitt, CRNA | |
|
4331 E Baseline Rd, Suite B105-625, Gilbert, AZ 85234-2961 | |
| (480) 981-0216 | |
| (480) 981-1151 |
| Full Name | Nicole Amber Dewitt |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 4331 E Baseline Rd, Gilbert, Arizona |
| 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 |
|---|---|---|---|
| 1083850002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA0610 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Honorhealth Scottsdale Shea Medical Center | Scottsdale, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Anesthesiology Consultants Inc | 4880591841 | 271 |
| Entity Name | Valley Anesthesiology Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620 |
| Entity Name | Dec Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093006520 PECOS PAC ID: 9335319086 Enrollment ID: O20110907001087 |
| Entity Name | Arizona Advanced Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134479892 PECOS PAC ID: 0941454953 Enrollment ID: O20130129000024 |
| Entity Name | Grand Canyon Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356822902 PECOS PAC ID: 3678824752 Enrollment ID: O20180928002378 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Amber Dewitt, CRNA 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 Ph: (602) 262-8900 | Nicole Amber Dewitt, CRNA 4331 E Baseline Rd, Suite B105-625, Gilbert, AZ 85234-2961 Ph: (480) 981-0216 |
Mr. Timothy Joe Carter Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N. Higley Road, Gilbert, AZ 85234 Phone: 480-981-2400 Fax: 480-981-2407 | |
Dallin Hazelgren, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-543-2000 | |
Timothy Randall Strong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-534-2600 Fax: 480-543-2586 | |
Alisha Howe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1833 E Everglade Ln, Gilbert, AZ 85298 Phone: 602-592-6144 | |
Brandon David Brewer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-543-2600 | |
Jennifer Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-543-2600 |