| Kirt Rosenlof, CRNA | |
|
807 S Ponderosa St, Payson, AZ 85541-5542 | |
| (602) 273-6770 | |
| (602) 889-0489 |
| Full Name | Kirt Rosenlof |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 807 S Ponderosa St, Payson, 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 |
|---|---|---|---|
| 1831100536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA0525 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern Anesthesia Pllc | 4284813940 | 33 |
| Entity Name | Southwestern Eye Center Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063187 PECOS PAC ID: 1850296989 Enrollment ID: O20031203000181 |
| Entity Name | Northeastern Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirt Rosenlof, CRNA Po Box 29211, Phoenix, AZ 85038-9211 Ph: (602) 273-6770 | Kirt Rosenlof, CRNA 807 S Ponderosa St, Payson, AZ 85541-5542 Ph: (602) 273-6770 |
Loran C Jacobs Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 602-273-6770 Fax: 602-889-0483 | |
Brooke Mcphee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-471-3222 | |
Guy Caraffa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 602-273-6770 Fax: 602-889-0489 | |
Mr. Jacob Troy Russell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-472-1273 |