| Lydia Palafox, CRNA | |
|
1600 S 20th Ave, Safford, AZ 85546-4011 | |
| (928) 348-4000 | |
| Not Available |
| Full Name | Lydia Palafox |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1600 S 20th Ave, Safford, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487672085 | NPI | - | NPPES |
| 209644 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 33150 (Arizona) | Primary |
| Entity Name | Professional Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336470475 PECOS PAC ID: 7810024429 Enrollment ID: O20100429000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Palafox, CRNA 501 N 1st Ave, Thatcher, AZ 85552-5403 Ph: (928) 348-8338 | Lydia Palafox, CRNA 1600 S 20th Ave, Safford, AZ 85546-4011 Ph: (928) 348-4000 |
Jason Craig Underwood, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 S 20th Ave, Safford, AZ 85546 Phone: 928-348-4021 | |
Mr. Richard Hincha, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 S 20th Ave, Safford, AZ 85546 Phone: 928-348-4000 Fax: 602-889-0489 | |
Hector Jesus Varela, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 S 20th Ave, Safford, AZ 85546 Phone: 928-348-4010 | |
Timothy J Rubalcava Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 S 20th Ave, Safford, AZ 85546 Phone: 928-348-1600 | |
Jason W White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 S 20th Ave, Safford, AZ 85546 Phone: 928-965-0707 |