| Stacy L Thomas, CRNA | |
|
1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | |
| (605) 322-2754 | |
| (605) 322-2727 |
| Full Name | Stacy L Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1325 S Cliff Ave, Sioux Falls, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548272776 | NPI | - | NPPES |
| 753S4OM | Other | MN | MN BLUE CROSS PROV # |
| 060963300 | Medicaid | MN | |
| 5752002 | Medicaid | SD | |
| 9213801 | Other | SD | DAKOTACARE PROV # |
| 0574533 | Medicaid | IA | |
| 460224743-48 | Medicaid | NE | |
| 460224743-57105-AC47 | Other | SD | TRICARE PROV # |
| 1548272776 | Other | SD | WELLMARK BCBS/TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R020320-0336 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy L Thomas, CRNA Po Box 5045, P.f.s. Prov Enrollment, Sioux Falls, SD 57117-5045 Ph: (605) 322-2754 | Stacy L Thomas, CRNA 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 Ph: (605) 322-2754 |
Jedd D Bialas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
Aaron Daniel Mortensen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
Austin Wade Fox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-8000 | |
Paul E Gilmore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
John A Lyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 21st St, Sioux Falls, SD 57105 Phone: 605-322-2754 Fax: 605-322-2727 | |
Christopher Brusseau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th Street, Anesthesia Department, Sioux Falls, SD 57117 Phone: 605-312-1225 Fax: 605-312-1226 | |
Gay J Heitmann, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 |