Todd Cook, | |
3828 E Omega Cir, Mesa, AZ 85215-9792 | |
(208) 569-3616 | |
Not Available |
Full Name | Todd Cook |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 3828 E Omega Cir, Mesa, 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 |
---|---|---|---|
1942662374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CRNA1458 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Gateway Medical Center | Gilbert, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Anesthesiology Consultants Inc | 4880591841 | 343 |
Entity Name | Valley Anesthesiology Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620 |
Entity Name | Gateway Anesthesia And Pain Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710026125 PECOS PAC ID: 0042314668 Enrollment ID: O20070409000257 |
Mailing Address | Practice Location Address |
---|---|
Todd Cook, 7416 E Lobo Ave, Mesa, AZ 85209-4940 Ph: (208) 569-3616 | Todd Cook, 3828 E Omega Cir, Mesa, AZ 85215-9792 Ph: (208) 569-3616 |
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