| Leslie Nicole Avalos, | |
|
14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | |
| (763) 559-3779 | |
| (763) 450-3986 |
| Full Name | Leslie Nicole Avalos |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 14700 28th Ave N Ste 20, Plymouth, Minnesota |
| 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 |
|---|---|---|---|
| 1760058283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R238033-3 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2627 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Anesthesia Providers Llc | 7315986064 | 314 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | University Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Nicole Avalos, Po Box 47159, Plymouth, MN 55447-0159 Ph: (763) 559-3779 | Leslie Nicole Avalos, 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 Ph: (763) 559-3779 |
Nickolas C Southwick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Lorna Bechtel, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3379 Fax: 763-450-3986 | |
Jayne Eberhardt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, Plymouth, MN 55441 Phone: 763-577-7000 | |
Anna Spillers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Peter Lawrence Sedlacek, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, Plymouth, MN 55441 Phone: 763-577-7000 Fax: 763-577-7130 | |
Kathryn Marie Huber, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Dillon Joseph Dryja, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-852-0411 |