| Crystal Blackburn, CRNA | |
|
555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011-3644 | |
| (435) 232-5911 | |
| Not Available |
| Full Name | Crystal Blackburn |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 555 S Telshor Blvd Ste 100b, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851042857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 8054927-3102 (Utah) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1073748 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center Of Mt Shasta | Mount shasta, CA | Hospital |
| Fairchild Medical Center | Yreka, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parish Anesthesia Of California A Professional Medical Corporation | 0244463925 | 5 |
| Siskiyou Hospital Inc | 1254223134 | 62 |
| Entity Name | Siskiyou Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20040927000311 |
| Entity Name | Parish Anesthesia Of California A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790106862 PECOS PAC ID: 0244463925 Enrollment ID: O20140503000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Blackburn, CRNA 161 E 200 S, Richmond, UT 84333-1614 Ph: (435) 232-5911 | Crystal Blackburn, CRNA 555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011-3644 Ph: (435) 232-5911 |
Aaron Villarreal, CRNA,NSPM-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3851 E Lohman Ave. Suite 4, Las Cruces, NM 88011 Phone: 575-205-0280 Fax: 575-600-6010 | |
Jessica Quinteros, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 S Telshor Blvd, Las Cruces, NM 88011 Phone: 915-920-1747 | |
Andrew Jason Costin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641 | |
Randall Alan Hamilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641 | |
Dr. Willie Bert Mccorvey Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 525-522-8641 | |
Ryan Alec Chavez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-556-7455 | |
Daniel F Griffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-532-7033 |