| Brian Rebenque Chan, CRNA | |
|
400 W Mineral King Ave, Visalia, CA 93291 | |
| (941) 979-7614 | |
| Not Available |
| Full Name | Brian Rebenque Chan |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 400 W Mineral King Ave, Visalia, California |
| 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 |
|---|---|---|---|
| 1467844019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 868861 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA95000403 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sierra Nurse Anesthesia | 8921413691 | 10 |
| Oak Creek Anesthesia Services, Inc. | 9739509407 | 55 |
| Entity Name | Oak Creek Anesthesia Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619589512 PECOS PAC ID: 9739509407 Enrollment ID: O20201019001247 |
| Entity Name | Sierra Nurse Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255934840 PECOS PAC ID: 8921413691 Enrollment ID: O20210211001166 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Rebenque Chan, CRNA 400 W Mineral King Ave, Visalia, CA 93291-6237 Ph: (941) 979-7614 | Brian Rebenque Chan, CRNA 400 W Mineral King Ave, Visalia, CA 93291 Ph: (941) 979-7614 |
Nicole M Higgins, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-459-4000 | |
Katharine Allyson Liu, DNAP, CRNA, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 | |
Dr. Tyler Sobotka, DNP-A, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 801-814-4423 | |
Erin Elizabeth Hawkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 | |
Dr. Alexander Ngo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-696-0947 | |
Carlos Acevedo Jr., Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3141 W Sedona Ave, Visalia, CA 93291 Phone: 559-901-9520 | |
Desiree Diann Ortiz-truong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 |