| Mr Timothy Joe Carter Ii, CRNA | |
|
1900 N. Higley Road, Gilbert, AZ 85234-1604 | |
| (480) 981-2400 | |
| (480) 981-2407 |
| Full Name | Mr Timothy Joe Carter Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1900 N. Higley Road, Gilbert, 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 |
|---|---|---|---|
| 1003295916 | NPI | - | NPPES |
| 029145 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1137 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 22032 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Medical Center | Conway, SC | Hospital |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Joe Carter Ii, CRNA 4838 E. Baseline Road, Suite 108, Mesa, AZ 85206-4672 Ph: (480) 981-2400 | Mr Timothy Joe Carter Ii, CRNA 1900 N. Higley Road, Gilbert, AZ 85234-1604 Ph: (480) 981-2400 |
Dallin Hazelgren, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-543-2000 | |
Timothy Randall Strong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-534-2600 Fax: 480-543-2586 | |
Alisha Howe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1833 E Everglade Ln, Gilbert, AZ 85298 Phone: 602-592-6144 | |
Nicole Amber Dewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4331 E Baseline Rd, Suite B105-625, Gilbert, AZ 85234 Phone: 480-981-0216 Fax: 480-981-1151 | |
Brandon David Brewer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-543-2600 | |
Jennifer Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-543-2600 |