| Lori Carmen, CRNA | |
|
1010 Spruce St, Espanola, NM 87532-3456 | |
| (505) 753-7111 | |
| Not Available |
| Full Name | Lori Carmen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1010 Spruce St, Espanola, New Mexico |
| 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 |
|---|---|---|---|
| 1740275924 | NPI | - | NPPES |
| 430074229 | Other | NM | RAILROAD MEDICARE INDIVID |
| NM006426 | Other | NM | BCB NM - INDIVIDUAL |
| 17104505 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R47417 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Espanola Hospital | Espanola, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Netherlands Anesthesia, Llc | 8123433588 | 33 |
| In Somno Securitas A Professional Nursing Corporation | 6709271356 | 5 |
| Entity Name | Rehoboth Mckinley Christian Health Care Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720084999 PECOS PAC ID: 1759293855 Enrollment ID: O20031105000466 |
| Entity Name | Pueblo Anesthesia & Pain Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831305036 PECOS PAC ID: 0042301707 Enrollment ID: O20070809000387 |
| Entity Name | Netherlands Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922603562 PECOS PAC ID: 8123433588 Enrollment ID: O20210216003117 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Carmen, CRNA 1000 Cordova Pl, # 712, Santa Fe, NM 87505-1725 Ph: (505) 747-8639 | Lori Carmen, CRNA 1010 Spruce St, Espanola, NM 87532-3456 Ph: (505) 753-7111 |
Pamela Jeanne Carlson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 | |
Lynda A Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 |