| Mr Eugene Ellis, CRNA | |
|
5801 North Canyon Rd, Suite 230, San Ramon, CA 94583-5440 | |
| (925) 275-9910 | |
| (925) 275-9823 |
| Full Name | Mr Eugene Ellis |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 5801 North Canyon Rd, San Ramon, California |
| 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 |
|---|---|---|---|
| 1740311513 | NPI | - | NPPES |
| NA0034730 | Other | CA | BLUE SHIELD OF CA |
| RN4261510 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3473 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA3473 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eugene Ellis, CRNA 1385 Holloway Ave, San Francisco, CA 94132-2664 Ph: (415) 867-0177 | Mr Eugene Ellis, CRNA 5801 North Canyon Rd, Suite 230, San Ramon, CA 94583-5440 Ph: (925) 275-9910 |
Christine Ballard Engelbrecht, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5201 Norris Canyon Rd Ste 100, San Ramon, CA 94583 Phone: 925-973-0605 Fax: 925-973-0653 |
Patricia Christine Gonzalez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5801 Norris Canyon Rd, Ste 230, San Ramon, CA 94583 Phone: 925-275-9910 Fax: 925-275-9823 |
Mr. Kevin Alan Hamby, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5801 Norris Canyon Rd Ste 230, San Ramon, CA 94583 Phone: 925-275-9910 Fax: 925-275-9823 |