| Benjamin Richard King, CRNA | |
|
1515 E 20th St, Farmington, NM 87401-9039 | |
| (505) 326-6400 | |
| (505) 326-4606 |
| Full Name | Benjamin Richard King |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 1515 E 20th St, Farmington, New Mexico |
| 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 |
|---|---|---|---|
| 1588962419 | NPI | - | NPPES |
| 07957866 | Medicaid | NM | |
| 1588962419 | Medicaid | UT | |
| 601683 | Medicaid | AZ | |
| 82373370 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA-01133 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Castleview Hospital | Price, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Anesthesia Associates, Llc | 0648175455 | 6 |
| Entity Name | Pinnacle Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144313669 PECOS PAC ID: 0648175455 Enrollment ID: O20031204000864 |
| Entity Name | Brigham Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710904800 PECOS PAC ID: 9335108299 Enrollment ID: O20041006000807 |
| Entity Name | Vaughn Jones Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326424391 PECOS PAC ID: 0941518740 Enrollment ID: O20150928002543 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Richard King, CRNA 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-2000 | Benjamin Richard King, CRNA 1515 E 20th St, Farmington, NM 87401-9039 Ph: (505) 326-6400 |
Christopher Gary Reitmeier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Barbara S Kamps, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 950 W Pinon, Farmington, NM 87401 Phone: 505-427-1794 Fax: 505-327-5355 | |
Daniel Herring, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Tyler Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6648 Fax: 505-609-2259 | |
Laura Chase, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Adam Russell Penrose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
James L Thurston, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-419-4365 |