| Mrs Jessica Ann Burton-vigil, CRNA | |
|
2247 Calle Cacique, Santa Fe, NM 87505-4944 | |
| (719) 351-6025 | |
| Not Available |
| Full Name | Mrs Jessica Ann Burton-vigil |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2247 Calle Cacique, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376840736 | NPI | - | NPPES |
| 601718 | Medicaid | AZ | |
| P01126137 | Other | CO | MEDICARE RAILROAD |
| 04035054 | Medicaid | CO | |
| 16834542 | Medicaid | CO | |
| 1376840736 | Medicaid | UT | |
| 74659065 | Medicaid | NM | |
| P00971956 | Other | NM | RR MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN.0990494-CRNA (Colorado) | Primary |
| Entity Name | Grand River Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124074042 PECOS PAC ID: 7113837469 Enrollment ID: O20040310000898 |
| Entity Name | Ecgj Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120070 PECOS PAC ID: 9133364466 Enrollment ID: O20130314000349 |
| Entity Name | Glenwood Anesthesia Professionals, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013335389 PECOS PAC ID: 6800015843 Enrollment ID: O20140924000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Ann Burton-vigil, CRNA 2247 Calle Cacique, Santa Fe, NM 87505-4944 Ph: (719) 351-6025 | Mrs Jessica Ann Burton-vigil, CRNA 2247 Calle Cacique, Santa Fe, NM 87505-4944 Ph: (719) 351-6025 |
Ms. Mary Eileen Rodkey, RN, BSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr, Santa Fe, NM 87505 Phone: 505-323-7200 | |
David Gallagher, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-983-3361 | |
Sarah Louise Dufort, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-3361 | |
Ms. Kathleen Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Ob Unit, Santa Fe, NM 87505 Phone: 505-820-5554 Fax: 505-820-5440 | |
Ying Xiong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-5368 | |
Rachel Haase Donahue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1896 Lorca Dr Apt 93, Santa Fe, NM 87505 Phone: 480-206-7691 | |
Mr. James Humphrey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-820-5554 |