| Derel Clayton, CRNA | |
|
13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | |
| (800) 402-0881 | |
| Not Available |
| Full Name | Derel Clayton |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 13677 W Mcdowell Rd, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699507467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 817830 (Nevada) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 313905 (Arizona) | Primary |
| Entity Name | Fielden,hanson,isaacs,miyada,robison,yeh Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699710749 PECOS PAC ID: 5799683462 Enrollment ID: O20031219000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Derel Clayton, CRNA Po Box 1193, Globe, AZ 85502-1193 Ph: (725) 204-4632 | Derel Clayton, CRNA 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 Ph: (800) 402-0881 |
Logan James Roach, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Dr. Brooke Tillia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13456 Fairway Loop S, Goodyear, AZ 85395 Phone: 623-986-6306 | |
Mr. Alfredo Suarez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Marianne Antony Alapatt, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Dr. Jane Krause, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Maria Sarrazin Earl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Glade Warren Johnson, CRNA, BSN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 |