| Kelton Crest Merrill, | |
|
10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | |
| (623) 832-4000 | |
| Not Available |
| Full Name | Kelton Crest Merrill |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 10401 W Thunderbird Blvd, Sun City, Arizona |
| 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 |
|---|---|---|---|
| 1043098494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN208298 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 298194 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mt Graham Regional Medical Center Inc | 6204822364 | 40 |
| Greater Anesthesia Solutions | 9234357906 | 166 |
| Entity Name | Mt Graham Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275588345 PECOS PAC ID: 6204822364 Enrollment ID: O20040423000105 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Entity Name | Mt Graham Regional Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275588345 PECOS PAC ID: 6204822364 Enrollment ID: O20201016000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelton Crest Merrill, 18853 N 59th Dr, Glendale, AZ 85308-7604 Ph: (928) 245-5056 | Kelton Crest Merrill, 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 Ph: (623) 832-4000 |
Deanna Kay Villalino, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 623-832-4000 | |
Susan Marie Hawes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10401 W Thunderbird Blvd, Anesthesiology, Sun City, AZ 85351 Phone: 623-977-7211 Fax: 623-876-5697 | |
Susan Lassiter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 623-977-7211 Fax: 623-876-5697 | |
Olivia Falon Caldwell, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 703-475-3380 | |
Ms. Maureen B Riley, CRNA, BSN, MAE Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10701 W Bell Rd, Sun City, AZ 85351 Phone: 602-525-4977 | |
Jin Lin, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 623-832-4000 | |
Jay Rawlings, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 623-832-4000 |