| Evan Blake Moon, CRNA | |
|
2920 N Cascade Ave Ste 300, Colorado Springs, CO 80907-6262 | |
| (719) 636-1201 | |
| (719) 636-1326 |
| Full Name | Evan Blake Moon |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 2920 N Cascade Ave Ste 300, Colorado Springs, Colorado |
| 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 |
|---|---|---|---|
| 1437603891 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Colorado Crna Associates Inc | 3072785559 | 3 |
| Entity Name | Peak Gastroenterology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023112117 PECOS PAC ID: 2961484365 Enrollment ID: O20040601000848 |
| Entity Name | Southern Colorado Crna Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043538382 PECOS PAC ID: 3072785559 Enrollment ID: O20111005000146 |
| Entity Name | Us Anesthesia Partners Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
| Entity Name | Ecgj Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120070 PECOS PAC ID: 9133364466 Enrollment ID: O20130314000349 |
| Entity Name | Arapahoe Gastroenterology Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598115479 PECOS PAC ID: 2466745294 Enrollment ID: O20160801001103 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201020000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Blake Moon, CRNA 2920 N Cascade Ave Ste 300, Colorado Springs, CO 80907-6262 Ph: (719) 636-1201 | Evan Blake Moon, CRNA 2920 N Cascade Ave Ste 300, Colorado Springs, CO 80907-6262 Ph: (719) 636-1201 |
Robert A. Rota, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 320 E Fontanero St, Ste 101, Colorado Springs, CO 80907 Phone: 719-227-9711 | |
Audrey Sonin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Juana Lopez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Blair Beougher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Colorado Springs, CO 80913 Phone: 719-526-7000 | |
Brent Jon Persons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 Southpointe Ct Ste 107, Colorado Springs, CO 80906 Phone: 719-203-6111 Fax: 877-247-9218 | |
Bryan Scott Ferrara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913 Phone: 719-526-5231 | |
Amanda Marie Dekker, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Colorado Springs, CO 80913 Phone: 719-526-7942 |