| Michele Idera, CRNA | |
|
1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 | |
| (520) 901-3500 | |
| Not Available |
| Full Name | Michele Idera |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1551 E Tangerine Rd, Oro Valley, Arizona |
| 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 |
|---|---|---|---|
| 1639154537 | NPI | - | NPPES |
| RN3489390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA2932 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1498 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cibola General Hospital | Grants, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cibola General Hospital Corporation | 7113935891 | 62 |
| Northwest Hbp Medical Services Llc | 8921356536 | 236 |
| Entity Name | Cibola General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780677039 PECOS PAC ID: 7113935891 Enrollment ID: O20060323000127 |
| Entity Name | G & G Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20191220000506 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20220111002399 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Idera, CRNA Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Michele Idera, CRNA 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 Ph: (520) 901-3500 |
Kimberly Ann Frazier, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 | |
Erin Mickelson, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 | |
Elizabeth Klaimy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 | |
Mr. Raymond F. O'keefe Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 | |
Ji Min Jung, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 | |
Seth Gary, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 | |
Dr. Marcus Brenden Mathews, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 |