| Dustin Martin, | |
|
484 W Palo Alto Ave Uppr None, Clovis, CA 93612-0198 | |
| (559) 790-5160 | |
| Not Available |
| Full Name | Dustin Martin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 484 W Palo Alto Ave Uppr None, Clovis, 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 |
|---|---|---|---|
| 1356183578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95002576 (California) | Primary |
| 163W00000X | Registered Nurse | 95121943 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Agnes Medical Center | Fresno, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Consultants Of Fresno | 8527967082 | 61 |
| Entity Name | Anesthesia Consultants Of Fresno |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124058177 PECOS PAC ID: 8527967082 Enrollment ID: O20040102000852 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Martin, 484 W Palo Alto Ave Uppr None, Clovis, CA 93612-0198 Ph: (559) 790-5160 | Dustin Martin, 484 W Palo Alto Ave Uppr None, Clovis, CA 93612-0198 Ph: (559) 790-5160 |
Mrs. Niloofar R Navaie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000 | |
Lois A Swearingen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 Alamos Ave, #101, Clovis, CA 93612 Phone: 559-292-1833 Fax: 559-292-1883 | |
Norman D Bontogon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000 | |
Ms. Carol Y Sliva, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000 | |
Abel G Garcia, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000 | |
Dr. Julian Panolli, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1544 N Middleburg Ln, Clovis, CA 93619 Phone: 630-205-1467 |