| Amanda Lynn Rae, CRNA | |
|
700 Lawrence Expy, Santa Clara, CA 95051-5173 | |
| (410) 591-3500 | |
| Not Available |
| Full Name | Amanda Lynn Rae |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 700 Lawrence Expy, Santa Clara, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013513167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024184271 (Virginia) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001449 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Washington Hospital | Fredericksburg, VA | Hospital |
| Spotsylvania Regional Medical Center | Fredericksburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surgical Anesthesia Associates Pllc | 5890739205 | 95 |
| Medidoctors Llc | 5991605826 | 112 |
| American Anesthesiology Of Virginia Pc | 6800790023 | 428 |
| Entity Name | Medidoctors Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821033010 PECOS PAC ID: 5991605826 Enrollment ID: O20040108001127 |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063 |
| Entity Name | Surgical Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20230130001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lynn Rae, CRNA 4160 Woodford Dr, San Jose, CA 95124-3741 Ph: (410) 591-3500 | Amanda Lynn Rae, CRNA 700 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (410) 591-3500 |
Miss Patricia Marie Melia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-231-7371 | |
Ms. Sheau-ying Ding, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Sydnie Dong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Ms. Karen Dianne Scates, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-236-5742 | |
Valerie K Petty, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 559-448-4500 | |
Mrs. Mary Jane Ngee Leung, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-5530 |