| Gary D Kliewer, CRNA | |
| 
					2400 Edison St, Brush, CO 80723-1642  | |
| (970) 842-6200 | |
| (970) 842-3572 | 
| Full Name | Gary D Kliewer | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 2400 Edison St, Brush, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245208859 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN70205 (Colorado) | Primary | 
| Entity Name | St. Vincent General Hospital District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497710958 PECOS PAC ID: 4587574884 Enrollment ID: O20040316001421  | 
| Entity Name | Wray Community District Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477587202 PECOS PAC ID: 3274425038 Enrollment ID: O20040326000383  | 
| Entity Name | East Phillips County Hospital District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891733879 PECOS PAC ID: 9638161615 Enrollment ID: O20040331000584  | 
| Entity Name | Kit Carson County Health Services District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932211596 PECOS PAC ID: 4385637917 Enrollment ID: O20040407001317  | 
| Entity Name | Lincoln Community Hospital | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1720107519 PECOS PAC ID: 8729987219 Enrollment ID: O20101018001199  | 
| Entity Name | Lincoln Community Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720107519 PECOS PAC ID: 8729987219 Enrollment ID: O20161208000347  | 
| Entity Name | Wray Community District Hospital | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1083640239 PECOS PAC ID: 3274425038 Enrollment ID: O20161220001701  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gary D Kliewer, CRNA 1441 N 12th St, Phoenix, AZ 85006-2837 Ph: (602) 495-4577  | Gary D Kliewer, CRNA 2400 Edison St, Brush, CO 80723-1642 Ph: (970) 842-6200  | 
Ms. Heidi A Reed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 Edison St, Brush, CO 80723 Phone: 970-842-6200  |