Samantha Wagnon, | |
3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | |
(970) 224-2985 | |
Not Available |
Full Name | Samantha Wagnon |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 3702 Automation Way Ste 103, Fort Collins, Colorado |
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 |
---|---|---|---|
1427692631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 22583017 (Colorado) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 126640 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Good Samaritan Medical Center Llc | Lafayette, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Partners Of Colorado | 0345520151 | 34 |
Northern Colorado Anesthesia Professionals Pllc | 6800878760 | 140 |
Entity Name | Northern Colorado Anesthesia Professionals Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851389613 PECOS PAC ID: 6800878760 Enrollment ID: O20040603001119 |
Entity Name | Anesthesia Partners Of Colorado |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457702409 PECOS PAC ID: 0345520151 Enrollment ID: O20161214000880 |
Mailing Address | Practice Location Address |
---|---|
Samantha Wagnon, 866 S Reed Ct Apt F, Lakewood, CO 80226-4497 Ph: () - | Samantha Wagnon, 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 Ph: (970) 224-2985 |
Lindsay Siebenaler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3702 Automation Way Ste 103, Fort Collins, CO 80525 Phone: 970-224-2985 | |
Mr. Steven K. Peterson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524 Phone: 970-224-2985 Fax: 970-472-9381 | |
Alana Tutt, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524 Phone: 970-224-2985 Fax: 970-472-9381 | |
Mr. Wilson H. Wessells Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524 Phone: 970-224-2985 Fax: 970-472-9381 | |
Mr. Richard Christopher Elmore, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524 Phone: 970-224-2985 Fax: 970-472-9381 | |
Stephanie Drazer Ford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1236 E Elizabeth St Ste 1, Fort Collins, CO 80524 Phone: 970-224-2985 Fax: 970-472-9381 | |
Ms. Karla Osborne Quarles, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524 Phone: 970-224-2985 Fax: 970-472-9381 |