| Sarah Lis, CRNA | |
|
113 Coyote Xing, Santa Fe, NM 87508-9375 | |
| (570) 510-6848 | |
| Not Available |
| Full Name | Sarah Lis |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 113 Coyote Xing, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285101436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 43-558020-021 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 54454 (New Mexico) | Primary |
| Entity Name | Otero County Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377 |
| 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 |
| Entity Name | Netherlands Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922603562 PECOS PAC ID: 8123433588 Enrollment ID: O20210216003117 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Lis, CRNA 113 Coyote Xing, Santa Fe, NM 87508-9375 Ph: () - | Sarah Lis, CRNA 113 Coyote Xing, Santa Fe, NM 87508-9375 Ph: (570) 510-6848 |
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 |