| Kirk E Lott, CRNA | |
|
1800 Spring Ridge Dr, Susanville, CA 96130-6100 | |
| (530) 252-2000 | |
| (530) 252-2241 |
| Full Name | Kirk E Lott |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 1800 Spring Ridge Dr, Susanville, California |
| 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 |
|---|---|---|---|
| 1891768271 | NPI | - | NPPES |
| 67157068 | Medicaid | CO | |
| NM006947 | Other | NM | BCBS |
| P00124198 | Other | NM | RR MEDICARE |
| 201045802 | Other | NM | PRESBYTERIAN HP |
| 847402 | Medicaid | AZ | |
| 63136881 | Medicaid | NM | |
| 10008783 | Other | NM | LOVELACE HP |
| T0043 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R50620 (New Mexico) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3947 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Churchill Community Hospital | Fallon, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterology Consultants Ltd | 0941107478 | 31 |
| Collins Carson City Anesthesia Llc | 5799141016 | 8 |
| Lifelinc Anesthesia Nevada Pc | 8921431800 | 4 |
| Entity Name | Gastroenterology Consultants Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144218512 PECOS PAC ID: 0941107478 Enrollment ID: O20031215000151 |
| Entity Name | Lifelinc Anesthesia Nevada Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851950463 PECOS PAC ID: 8921431800 Enrollment ID: O20191206001221 |
| Entity Name | Collins Carson City Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285330423 PECOS PAC ID: 5799141016 Enrollment ID: O20230511002066 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk E Lott, CRNA 1800 Spring Ridge Dr, Susanville, CA 96130-6100 Ph: (530) 252-2000 | Kirk E Lott, CRNA 1800 Spring Ridge Dr, Susanville, CA 96130-6100 Ph: (530) 252-2000 |
Gary Lyle Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1800 Spring Ridge Dr, Susanville, CA 96130 Phone: 530-252-2000 |