Robert M Conley, CRNA | |
2025 Morse Ave, Anesthesia Dept, Sacramento, CA 95825-2115 | |
(916) 973-7705 | |
(916) 973-6354 |
Full Name | Robert M Conley |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2025 Morse Ave, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609814557 | NPI | - | NPPES |
3130716 | Other | TN | BLUE CROSS |
430050588 | Other | RAILROAD MEDICARE | |
3622612 | Medicaid | TN | |
08359247 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 100026 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 434182 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | El Dorado Anesthesia Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356390983 PECOS PAC ID: 2163314048 Enrollment ID: O20040325001674 |
Entity Name | Anesthesia Services Of San Joaquin Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
Mailing Address | Practice Location Address |
---|---|
Robert M Conley, CRNA 23035 Upton Rd, Plymouth, CA 95669-9529 Ph: (901) 268-4952 | Robert M Conley, CRNA 2025 Morse Ave, Anesthesia Dept, Sacramento, CA 95825-2115 Ph: (916) 973-7705 |
Shannon Kentera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-7254 | |
Kenneth D. Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975 | |
Thomas M. Goodnow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975 | |
Rasheed Ahmad Khan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696 | |
Kimberly Beres, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V Street, Pssb Ste 1200, Dept Of Anesthesiology And Pain Medicine, Sacramento, CA 95817 Phone: 916-734-5028 Fax: 916-734-2975 | |
Mr. Lewis Lindley Dewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696 | |
Ms. Tricia D. Ouchi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd., Sacramento, CA 95817 Phone: 916-734-5032 |