Grayson Fleming Mchargue, CRNA | |
101 Civic Center Ln, Lake Havasu City, AZ 86403-5683 | |
(928) 855-8185 | |
Not Available |
Full Name | Grayson Fleming Mchargue |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 101 Civic Center Ln, Lake Havasu City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750198602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 95217169 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 218357 (Arizona) | Primary |
Entity Name | Northeastern Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
Entity Name | Valley Regional Anesthesia Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20240521001150 |
Mailing Address | Practice Location Address |
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Grayson Fleming Mchargue, CRNA 24979 Starr St, Loma Linda, CA 92354-2819 Ph: (916) 882-5959 | Grayson Fleming Mchargue, CRNA 101 Civic Center Ln, Lake Havasu City, AZ 86403-5683 Ph: (928) 855-8185 |
Maria Fuller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2795 Poseidon Dr, Lake Havasu City, AZ 86404 Phone: 816-769-5775 | |
Ramon R Orduno Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Jessica Mortola, DNP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Tawab Noori, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Judith A Mckee, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 40 Capri Blvd, Ste 102, Lake Havasu City, AZ 86403 Phone: 928-855-9477 |