Paul Kisucky Iii, CRNA | |
925 S Walnut St, Las Cruces, NM 88001-3955 | |
(575) 523-6330 | |
Not Available |
Full Name | Paul Kisucky Iii |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 925 S Walnut St, Las Cruces, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932133618 | NPI | - | NPPES |
00C79M | Other | BCBS OF TEXAS | |
088570904 | Medicaid | TX | |
088570902 | Medicaid | TX | |
84581U | Other | TX | BCBS |
86378U | Other | BCBS OF TEXAS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 583176 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Las Palmas Medical Center | El paso, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
El Paso Ams Pllc | 9931520970 | 66 |
Entity Name | Texas Tech University Health Sciences Center El Paso |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
Entity Name | Texas Ams Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174926125 PECOS PAC ID: 9133441769 Enrollment ID: O20141209001912 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
Entity Name | Anesthesia Management Solutions Of Texas, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235750795 PECOS PAC ID: 7214358373 Enrollment ID: O20200528002404 |
Entity Name | El Paso Ams Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134740202 PECOS PAC ID: 9931520970 Enrollment ID: O20200601000147 |
Entity Name | Sound Physicians Anesthesiology Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20201009000612 |
Mailing Address | Practice Location Address |
---|---|
Paul Kisucky Iii, CRNA 205 W Boutz Rd Bldg 1, Las Cruces, NM 88005-3259 Ph: (575) 532-7033 | Paul Kisucky Iii, CRNA 925 S Walnut St, Las Cruces, NM 88001-3955 Ph: (575) 523-6330 |
Aaron Villarreal, CRNA,NSPM-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3851 E Lohman Ave. Suite 4, Las Cruces, NM 88011 Phone: 575-205-0280 Fax: 575-600-6010 | |
Jessica Quinteros, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 S Telshor Blvd, Las Cruces, NM 88011 Phone: 915-920-1747 | |
Andrew Jason Costin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641 | |
Randall Alan Hamilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641 | |
Daniel F Griffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-532-7033 | |
Ms. Catherine Elizabeth Boyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011 Phone: 575-541-4206 Fax: 575-339-6001 | |
Brett A Skattum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641 |