| Lacey Rae Gibson, CRNA | |
|
167 North Main Street, Tuba City, AZ 86045-1621 | |
| (602) 315-8661 | |
| Not Available |
| Full Name | Lacey Rae Gibson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 167 North Main Street, Tuba City, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184287633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN159748 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 227532 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwestern Eye Center Ltd | 1850296989 | 109 |
| Anesthesia Partners Of Arizona Llc | 8628317179 | 139 |
| 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 | Barnet Dulaney Perkins Eye Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376574707 PECOS PAC ID: 0749288298 Enrollment ID: O20061117000349 |
| Entity Name | Dec Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093006520 PECOS PAC ID: 9335319086 Enrollment ID: O20110907001087 |
| Entity Name | Anesthesia Partners & Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706 |
| Entity Name | Grand Canyon Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356822902 PECOS PAC ID: 3678824752 Enrollment ID: O20180928002378 |
| Entity Name | Anesthesia Partners Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
| Entity Name | Asap Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760082184 PECOS PAC ID: 7810301751 Enrollment ID: O20210204000266 |
| Entity Name | Aurora Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861161572 PECOS PAC ID: 1658748207 Enrollment ID: O20221110001577 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Rae Gibson, CRNA 167 North Main Street, Tuba City, AZ 86045-1621 Ph: (602) 315-8661 | Lacey Rae Gibson, CRNA 167 North Main Street, Tuba City, AZ 86045-1621 Ph: (602) 315-8661 |
Arline C Winfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Mr. Mitchell H Bailey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Mr. Roy E Cooper Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Jennifer Laroche, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-3601 Fax: 928-283-2677 | |
Matthew Alan Mcghee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 |