| Richard D Sepela, CRNA | |
|
269 S Candy Ln, Cottonwood, AZ 86326-4158 | |
| (928) 639-6150 | |
| (928) 639-6561 |
| Full Name | Richard D Sepela |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 269 S Candy Ln, Cottonwood, 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 |
|---|---|---|---|
| 1467456335 | NPI | - | NPPES |
| 100512505 | Medicaid | NV | |
| 152517 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN332922L (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1206 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Verde Valley Medical Center | Cottonwood, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Arizona Healthcare Corporation | 3577473362 | 382 |
| Entity Name | Sunset Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841561347 PECOS PAC ID: 3779746375 Enrollment ID: O20120517000676 |
| Entity Name | Northern Arizona Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Entity Name | Summit Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821589144 PECOS PAC ID: 3971850892 Enrollment ID: O20180724002694 |
| Entity Name | Grand Canyon Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356822902 PECOS PAC ID: 3678824752 Enrollment ID: O20180928002378 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D Sepela, CRNA 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Richard D Sepela, CRNA 269 S Candy Ln, Cottonwood, AZ 86326-4158 Ph: (928) 639-6150 |
Levi William Kemper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-634-2251 | |
Sarah Ann Torabi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 Fax: 928-639-6561 | |
Kathleen M Millar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 | |
Nicholas Finlinson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 Fax: 928-639-6561 | |
Lisa Strait, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 Fax: 928-639-6561 | |
Peter G Andress, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6159 Fax: 928-639-6561 |