| Bryan Justin Dwiggins, | |
|
645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | |
| (602) 262-8900 | |
| (602) 262-8890 |
| Full Name | Bryan Justin Dwiggins |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 645 E Missouri Ave Ste 300, Phoenix, 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 |
|---|---|---|---|
| 1780270926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN9496691 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 254265 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arlington Anesthesia Group Pllc | 2860798303 | 35 |
| Greater Anesthesia Solutions | 9234357906 | 166 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Arizona Advanced Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134479892 PECOS PAC ID: 0941454953 Enrollment ID: O20130129000024 |
| 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 | Grand Canyon Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356822902 PECOS PAC ID: 3678824752 Enrollment ID: O20180928002378 |
| Entity Name | Arlington Anesthesia Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023483153 PECOS PAC ID: 2860798303 Enrollment ID: O20200306000876 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Justin Dwiggins, 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 Ph: (602) 262-8917 | Bryan Justin Dwiggins, 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 Ph: (602) 262-8900 |
Jenny Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 | |
Rufus Lee Casey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
Maria M Valentin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 | |
Michelle Minta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 | |
Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 | |
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988 | |
Mr. Daniel Patrick Harmeyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5039 |