| Amy D Kosanke, CRNA | |
|
101 The City Dr S, Orange, CA 92868-3201 | |
| (714) 456-5261 | |
| Not Available |
| Full Name | Amy D Kosanke |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 101 The City Dr S, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215993985 | NPI | - | NPPES |
| P00321421 | Other | AZ | RAILROAD MEDICARE |
| 084271 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN138246 (Arizona) | Primary |
| Entity Name | Metro-west Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy D Kosanke, CRNA 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-5261 | Amy D Kosanke, CRNA 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-5261 |
Miranda G Ideal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Dr. Nicole Christine Creef, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8888 | |
Amy Louise Owens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 | |
Kaitlin Dempsey, DNP, CRNA, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 | |
Lucia Webster, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8888 | |
Hai Ly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 | |
Jason Lee Malig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 |