| Boceifus Omar Medlin, CRNA | |
|
13400 E. Shea Blvd., Scottsdale, AZ 85259 | |
| (480) 342-1800 | |
| Not Available |
| Full Name | Boceifus Omar Medlin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 13400 E. Shea Blvd., Scottsdale, Arizona |
| 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 |
|---|---|---|---|
| 1922379023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA0817 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner-university Medical Group | 7719899871 | 950 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Entity Name | Southwestern Eye Center Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063187 PECOS PAC ID: 1850296989 Enrollment ID: O20031203000181 |
| Entity Name | Valley Anesthesiology Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620 |
| Entity Name | Barnet Dulaney Perkins Eye Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376574707 PECOS PAC ID: 0749288298 Enrollment ID: O20061117000349 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Entity Name | Dec Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093006520 PECOS PAC ID: 9335319086 Enrollment ID: O20110907001087 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Anesthesia Partners Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
| Entity Name | Hospitalist Medicine Physicians Of Arizona - Nogales |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487251799 PECOS PAC ID: 9335554625 Enrollment ID: O20210218002429 |
| Mailing Address | Practice Location Address |
|---|---|
| Boceifus Omar Medlin, CRNA 2929 E Thomas Rd, Phoenix, AZ 85016-8034 Ph: (602) 470-5043 | Boceifus Omar Medlin, CRNA 13400 E. Shea Blvd., Scottsdale, AZ 85259 Ph: (480) 342-1800 |
Brett Theodore Tolpa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Gina Munson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Michael Moskowitz, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Christopher David Hess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Edna Kemboi, DNAP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 Fax: 904-953-0115 | |
Paul Jordan Stievo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E. Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Gertrude F Neill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6906 E Exeter Blvd, Scottsdale, AZ 85251 Phone: 239-000-0000 |