Perryn Baker, | |
140 Flora Ave Apt 223, Walnut Creek, CA 94595-1244 | |
(909) 801-1777 | |
Not Available |
Full Name | Perryn Baker |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 140 Flora Ave Apt 223, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982276937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 787137 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95002315 (California) | Primary |
Entity Name | Lgibson Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417473323 PECOS PAC ID: 3476827288 Enrollment ID: O20170918001886 |
Mailing Address | Practice Location Address |
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Perryn Baker, 140 Flora Ave Apt 223, Walnut Creek, CA 94595-1244 Ph: () - | Perryn Baker, 140 Flora Ave Apt 223, Walnut Creek, CA 94595-1244 Ph: (909) 801-1777 |
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Mrs. Connie M Tracy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665 | |
Anthony Trejo, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Rosemary W Kanake, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1470 Creekside Dr Apt 3, Walnut Creek, CA 94596 Phone: 314-461-1058 | |
Amy Elizabeth Bode, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4739 | |
Isabelita Gecale Puruganan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665 Fax: 925-295-6116 |