| Mr Carey B Simon, CRNA | |
|
1501 E 3rd St, Delta, CO 81416-2815 | |
| (970) 874-2255 | |
| Not Available |
| Full Name | Mr Carey B Simon |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 1501 E 3rd St, Delta, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033428941 | NPI | - | NPPES |
| 84143963015 | Medicaid | NE | |
| P01410586 | Other | CO | RR MEDICARE |
| 15905535 | Medicaid | CO | |
| 138996300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C-APN.0000092 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Delta County Memorial Hospital | Delta, CO | Hospital |
| Montrose Memorial Hospital | Montrose, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta County Memorial Hospital | 1850200601 | 54 |
| Timberline Anesthesia Partners Llc | 7719361104 | 13 |
| Entity Name | Prowers County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821052929 PECOS PAC ID: 4486568508 Enrollment ID: O20031113000509 |
| Entity Name | Delta County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417935446 PECOS PAC ID: 1850200601 Enrollment ID: O20040113000653 |
| Entity Name | Guardian Anesthesia Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013946797 PECOS PAC ID: 8820030455 Enrollment ID: O20050524001161 |
| Entity Name | Lifelinc Anesthesia Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558863415 PECOS PAC ID: 7911260534 Enrollment ID: O20180413000065 |
| Entity Name | Timberline Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366179012 PECOS PAC ID: 7719361104 Enrollment ID: O20220902001887 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Carey B Simon, CRNA 13950 Larkspur Dr, Montrose, CO 81403-9387 Ph: (720) 939-5138 | Mr Carey B Simon, CRNA 1501 E 3rd St, Delta, CO 81416-2815 Ph: (970) 874-2255 |
Clint B Pitchforth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-6400 | |
Kimberley W Brighton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Christine A Hamilton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Joshua Lake, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Mr. Chris John Marshall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Jerald Martin Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1501 East 3rd Street, Delta County Memorial Hospital, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-2227 |