| Mr Israel Coronado, CRNA | |
|
3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 | |
| (928) 757-3636 | |
| (928) 757-3635 |
| Full Name | Mr Israel Coronado |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 3636 N Stockton Hill Rd, Kingman, Arizona |
| 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 |
|---|---|---|---|
| 1831476340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 737234 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 324558 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital At Renaissance | Edinburg, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcallen Anesthesia Consultants Pa | 3476512377 | 46 |
| Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc | 7012045685 | 78 |
| Entity Name | Rio Grande Anesthesia & Pain Medicine Consultants, P .a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457234 PECOS PAC ID: 4880507763 Enrollment ID: O20031106000738 |
| Entity Name | Austin Anesthesiology Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
| Entity Name | Mcallen Anesthesia Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841200805 PECOS PAC ID: 3476512377 Enrollment ID: O20041006001147 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Acema Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841438785 PECOS PAC ID: 6901955244 Enrollment ID: O20090518000068 |
| Entity Name | Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346570355 PECOS PAC ID: 7012045685 Enrollment ID: O20100503000712 |
| Entity Name | Clinical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518265966 PECOS PAC ID: 8325217904 Enrollment ID: O20110816000816 |
| Entity Name | Anesthesia Provider Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285266619 PECOS PAC ID: 7012345226 Enrollment ID: O20200323002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Israel Coronado, CRNA 1016 S Mile 2 1/2 W, Weslaco, TX 78596-0501 Ph: (956) 246-7670 | Mr Israel Coronado, CRNA 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 Ph: (928) 757-3636 |
Ellen Louise Boyer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1740 Sycamore Ave, Kingman, AZ 86401 Phone: 602-273-6770 Fax: 602-889-0489 | |
Ms. Lauria Lynda Mason, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3269 N Stockton Hill Rd, Anesthesiology, Kingman, AZ 86409 Phone: 928-757-0641 Fax: 928-692-2741 |