Mr Kristopher A Black, CRNA | |
1008 Minnequa Ave, Or/anesthesiology, Pueblo, CO 81004-3733 | |
(719) 557-3824 | |
(719) 557-3834 |
Full Name | Mr Kristopher A Black |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 1008 Minnequa Ave, Pueblo, Colorado |
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 |
---|---|---|---|
1124265590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 47932 (Wyoming) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 121197 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cody Regional Health | Cody, WY | Hospital |
Campbell County Health | Gillette, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Us Anesthesia Partners Of Colorado Inc | 6002072055 | 570 |
Campbell County Hospital District | 2860392529 | 110 |
Wyoming Perioperative Anesthesia Consultants Llc | 0840433132 | 8 |
Entity Name | Catholic Health Initiatives Colorado |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Entity Name | Us Anesthesia Partners Of Colorado Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
Mailing Address | Practice Location Address |
---|---|
Mr Kristopher A Black, CRNA Po Box 1155, Attn Aqreva, Billings, MT 59103-1155 Ph: (719) 557-3824 | Mr Kristopher A Black, CRNA 1008 Minnequa Ave, Or/anesthesiology, Pueblo, CO 81004-3733 Ph: (719) 557-3824 |
Lara Kjurston Knowles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Malena Calle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-7305 | |
Michael R. Herron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-560-5717 | |
Elizabeth Dias Morphis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Mr. James Guzan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 W D St, Suite 210a, Pueblo, CO 81003 Phone: 330-442-3547 | |
Timothy Floyd, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 |