| 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 | Nurse Anesthetist, Certified Registered |
| Location | 484 W Palo Alto Ave Uppr None, Clovis, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| 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: Accepting 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 |