| Mrs Brenna Ann Sanislo, | |
|
300 W Ottley Ave, Fruita, CO 81521-2118 | |
| (970) 858-2705 | |
| Not Available |
| Full Name | Mrs Brenna Ann Sanislo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 300 W Ottley Ave, Fruita, Colorado |
| 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 |
|---|---|---|---|
| 1245843085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Family Health West Hospital | Fruita, CO | Hospital |
| Intermountain Health St. Mary's Regional Hospital | Grand junction, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Medical Group Grand Junction, Llc | 3779707856 | 297 |
| Entity Name | Lower Valley Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1609190206 PECOS PAC ID: 4284526021 Enrollment ID: O20040326000937 |
| Entity Name | Lower Valley Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1861496697 PECOS PAC ID: 4284526021 Enrollment ID: O20090218000366 |
| Entity Name | Intermountain Medical Group Grand Junction, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brenna Ann Sanislo, 3230 Beechwood St, Grand Junction, CO 81506-4833 Ph: Not Available | Mrs Brenna Ann Sanislo, 300 W Ottley Ave, Fruita, CO 81521-2118 Ph: (970) 858-2705 |
Donna Marie Cronk, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-9894 Fax: 970-858-1331 |
Mr. Harlan J. Bullinger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 West Ottley Ave., Fruita, CO 81521 Phone: 970-858-3900 |
Sara Beth Blodgett, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 576 Kokopelli Blvd Unit D-e, Fruita, CO 81521 Phone: 970-858-2590 Fax: 970-858-5036 |
Ashley Marie Hardin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-9894 |
Sherrie K Mccoy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1870 J Rd, Fruita, CO 81521 Phone: 970-778-2474 |
Eric W Frevert, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1488 18 Rd, Fruita, CO 81521 Phone: 719-480-9765 |
Laken Renee Eyler, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-2705 |