Timothy Mark Candelaria, CRNA | |
1631 Hospital Dr, Santa Fe, NM 87505-4728 | |
(505) 323-7200 | |
(505) 323-7206 |
Full Name | Timothy Mark Candelaria |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 1631 Hospital Dr, Santa Fe, 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 |
---|---|---|---|
1215375951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R53366 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lovelace Medical Center | Albuquerque, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Gastroenterology Associates | 2062316086 | 26 |
Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 149 |
Entity Name | Southwest Gastroenterology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902931728 PECOS PAC ID: 2062316086 Enrollment ID: O20031121000394 |
Entity Name | Anesthesia Associates Of New Mexico P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912900754 PECOS PAC ID: 4385536564 Enrollment ID: O20040325000455 |
Entity Name | Main Street Anesthesia Of New Mexico, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
Mailing Address | Practice Location Address |
---|---|
Timothy Mark Candelaria, CRNA 1631 Hospital Dr, Santa Fe, NM 87505-4728 Ph: (505) 983-3275 | Timothy Mark Candelaria, CRNA 1631 Hospital Dr, Santa Fe, NM 87505-4728 Ph: (505) 323-7200 |
Ms. Mary Eileen Rodkey, RN, BSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr, Santa Fe, NM 87505 Phone: 505-323-7200 | |
David Gallagher, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-983-3361 | |
Sarah Louise Dufort, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-3361 | |
Ms. Kathleen Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Ob Unit, Santa Fe, NM 87505 Phone: 505-820-5554 Fax: 505-820-5440 | |
Ying Xiong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-5368 | |
Rachel Haase Donahue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1896 Lorca Dr Apt 93, Santa Fe, NM 87505 Phone: 480-206-7691 | |
Mr. James Humphrey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-820-5554 |