| Kari Sack, CRNA | |
|
2100 W Sunset Dr, Riverton, WY 82501-2274 | |
| (800) 967-1646 | |
| Not Available |
| Full Name | Kari Sack |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 2100 W Sunset Dr, Riverton, Wyoming |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588609325 | NPI | - | NPPES |
| 122521900 | Medicaid | WY | |
| P00435059 | Other | WY | RAILROAD MEDICARE |
| 315566 | Other | WY | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 23051.0807 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sagewest Health Care | Riverton, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Colleagues Inc | 8729011333 | 148 |
| Entity Name | Washakie Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255368593 PECOS PAC ID: 2466369301 Enrollment ID: O20061104000309 |
| Entity Name | Clinical Colleagues Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134643604 PECOS PAC ID: 8729011333 Enrollment ID: O20170824002172 |
| Mailing Address | Practice Location Address |
|---|---|
| Kari Sack, CRNA Po Box 32103, Billings, MT 59107-2103 Ph: (317) 567-2180 | Kari Sack, CRNA 2100 W Sunset Dr, Riverton, WY 82501-2274 Ph: (800) 967-1646 |
Matthew Mullinix, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 W Sunset Dr, Riverton, WY 82501 Phone: 800-967-1646 Fax: 317-567-2191 | |
Ryan J Wilcox, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 W Sunset Dr, Riverton, WY 82501 Phone: 800-967-1646 |