Mr Scott Allan Jolliffe, CRNA | |
5430 Distinction Way, Prescott, AZ 86301-8437 | |
(928) 445-1919 | |
Not Available |
Full Name | Mr Scott Allan Jolliffe |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 5430 Distinction Way, Prescott, 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 |
---|---|---|---|
1174722888 | NPI | - | NPPES |
917333007 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 200960029CRNA (Oregon) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA1473 (Arizona) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Northwest Llc | 7618908484 | 76 |
Anesthesia Partners And Management Llc | 9931429198 | 133 |
Entity Name | Anesthesia Associates Northwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
Entity Name | Metropolitan Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720387954 PECOS PAC ID: 2860662996 Enrollment ID: O20110829000644 |
Entity Name | Complete Anesthesia Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932464492 PECOS PAC ID: 7214187210 Enrollment ID: O20121029000661 |
Mailing Address | Practice Location Address |
---|---|
Mr Scott Allan Jolliffe, CRNA 1192 N Rusty Nail Rd, Prescott Valley, AZ 86314-1478 Ph: (503) 277-0265 | Mr Scott Allan Jolliffe, CRNA 5430 Distinction Way, Prescott, AZ 86301-8437 Ph: (928) 445-1919 |
Cynthia D Bolena, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-776-7477 Fax: 928-776-0693 | |
Jagjit Singh Sandhu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 815 Ainsworth Dr, Prescott, AZ 86301 Phone: 928-533-7234 |