| Ms Korina Irish Lynne Tolentino De Los Santos, | |
|
13300 N 88th Ave Apt 1053, Peoria, AZ 85381-2609 | |
| (623) 286-9148 | |
| Not Available |
| Full Name | Ms Korina Irish Lynne Tolentino De Los Santos |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 13300 N 88th Ave Apt 1053, Peoria, Arizona |
| 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 |
|---|---|---|---|
| 1689391484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 145134 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Anesthesia Solutions | 9234357906 | 166 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Korina Irish Lynne Tolentino De Los Santos, 1818 N 162nd Dr, Goodyear, AZ 85395-7152 Ph: () - | Ms Korina Irish Lynne Tolentino De Los Santos, 13300 N 88th Ave Apt 1053, Peoria, AZ 85381-2609 Ph: (623) 286-9148 |
Christine Anne Mosienko, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6865 W Briles Rd, Peoria, AZ 85383 Phone: 623-376-9038 Fax: 623-376-9186 | |
Eric James Jensen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8092 W Paradise Ln Apt 1001, Peoria, AZ 85382 Phone: 605-275-0924 |