| Elizabeth C Dyer, CRNA | |
|
455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | |
| (505) 820-5554 | |
| (505) 946-3173 |
| Full Name | Elizabeth C Dyer |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 455 Saint Michaels Dr, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770528507 | NPI | - | NPPES |
| 93708 | Medicaid | NM | |
| 202005689 | Other | NM | PHP MOO SALUD |
| 363094 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R28511 (New Mexico) | Primary |
| Entity Name | Southwest Gastroenterology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902931728 PECOS PAC ID: 2062316086 Enrollment ID: O20031121000394 |
| Entity Name | Main Street Anesthesia Of New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth C Dyer, CRNA 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (505) 820-5554 | Elizabeth C Dyer, CRNA 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (505) 820-5554 |
Ms. Mary Eileen Rodkey, RN, BSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr, Santa Fe, NM 87505 Phone: 505-323-7200 | |
David Gallagher, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-983-3361 | |
Sarah Louise Dufort, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-3361 | |
Ms. Kathleen Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Ob Unit, Santa Fe, NM 87505 Phone: 505-820-5554 Fax: 505-820-5440 | |
Ying Xiong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-5368 | |
Rachel Haase Donahue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1896 Lorca Dr Apt 93, Santa Fe, NM 87505 Phone: 480-206-7691 | |
Mr. James Humphrey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-820-5554 |