| Peter Gilbert Brainard, CRNA | |
|
77 W Forest Ave Ste 207, Flagstaff, AZ 86001-1483 | |
| (928) 773-2505 | |
| (928) 773-2504 |
| Full Name | Peter Gilbert Brainard |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 77 W Forest Ave Ste 207, Flagstaff, 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 |
|---|---|---|---|
| 1770846669 | NPI | - | NPPES |
| 746503 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | TCRNA0880 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tuba City Regional Health Care Corporation | 4284542531 | 151 |
| Entity Name | Tuba City Regional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Gilbert Brainard, CRNA Po Box 27568, Salt Lake City, UT 84127-0568 Ph: (928) 773-2505 | Peter Gilbert Brainard, CRNA 77 W Forest Ave Ste 207, Flagstaff, AZ 86001-1483 Ph: (928) 773-2505 |
Elizabeth Gilmore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Juliana D Eichenberg, DNAP Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2113 | |
Jack Gilbert Weiss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 | |
Benjamin Henrie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Linda Allsop, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 | |
James Dean Bohn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 | |
Elizabeth Parker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 |