| Michael Fusaro, CRNA | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-3339 | |
| Not Available |
| Full Name | Michael Fusaro |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194109785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 802851 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP130333 (Texas) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Entity Name | Anesthesia Associates Of Medford Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073543963 PECOS PAC ID: 5597750323 Enrollment ID: O20040420000077 |
| Entity Name | Asante Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Fusaro, CRNA 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3339 | Michael Fusaro, CRNA 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3339 |
Mr. Martin Ockert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3589 | |
Mr. Jerry Edward Glattfelt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, CA 94535 Phone: 707-423-5370 | |
Mr. David Lee Perkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 708-423-3589 | |
Michael Millar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339 | |
Jorge Montequin, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339 | |
Shawna Mills Greiner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3583 | |
Gregory John Miles, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3605 |