| Lourdes Sofia Avinaz, CRNA | |
|
401 E Spruce St, Garden City, KS 67846-5679 | |
| (620) 272-2222 | |
| Not Available |
| Full Name | Lourdes Sofia Avinaz |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 401 E Spruce St, Garden City, Kansas |
| 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 |
|---|---|---|---|
| 1033551981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN9331281 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 43557567122 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tucson Physician Group Holdings Llc | 0547560070 | 187 |
| Entity Name | Tucson Physician Group Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Lourdes Sofia Avinaz, CRNA Po Box 178, Garden City, KS 67846-0178 Ph: (904) 729-9614 | Lourdes Sofia Avinaz, CRNA 401 E Spruce St, Garden City, KS 67846-5679 Ph: (620) 272-2222 |
Thomas Scott Troy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 N Campus, Garden City, KS 67846 Phone: 620-276-7699 | |
Christopher Friedly, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 | |
Chris P Omenski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 Fax: 620-272-2216 | |
John Christian Newcomer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 | |
Lynn Gage Dunford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 N Campus, Garden City, KS 67846 Phone: 620-276-7699 | |
Mr. Brian L Tackitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2610 | |
Diane M Madsen, CRMA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 |