| Spencer Bradley Wotring, | |
|
4605 E Elwood St Ste 500, Phoenix, AZ 85040-1978 | |
| (480) 256-1518 | |
| Not Available |
| Full Name | Spencer Bradley Wotring |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 4605 E Elwood St Ste 500, Phoenix, Arizona |
| 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 |
|---|---|---|---|
| 1568105914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28245150A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 275585 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Abrazo Scottsdale Campus | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Anesthesia Services Pllc | 3971850892 | 41 |
| Advanced Cardiac Anesthesia Pllc | 8022463595 | 8 |
| Greater Anesthesia Solutions | 9234357906 | 158 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Entity Name | Summit Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821589144 PECOS PAC ID: 3971850892 Enrollment ID: O20180724002694 |
| Entity Name | Anesthesia Partners Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
| Entity Name | Advanced Cardiac Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083397764 PECOS PAC ID: 8022463595 Enrollment ID: O20231018003369 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Bradley Wotring, 4605 E Elwood St Ste 500, Phoenix, AZ 85040-1978 Ph: (480) 256-1518 | Spencer Bradley Wotring, 4605 E Elwood St Ste 500, Phoenix, AZ 85040-1978 Ph: (480) 256-1518 |
Jenny Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 | |
Rufus Lee Casey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
Maria M Valentin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 | |
Michelle Minta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 | |
Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 | |
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988 | |
Leila Mclawhorn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5039 |