| Ryan Bezzant, CRNA | |
|
16420 W Us Highway 24, Woodland Park, CO 80863-8760 | |
| (719) 374-6060 | |
| Not Available |
| Full Name | Ryan Bezzant |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 16420 W Us Highway 24, Woodland Park, Colorado |
| 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 |
|---|---|---|---|
| 1649624917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN.0992327 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rb Anesthesia Llc | 9436563145 | 4 |
| Entity Name | Lincoln Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1720107519 PECOS PAC ID: 8729987219 Enrollment ID: O20101018001199 |
| Entity Name | Rb Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972108306 PECOS PAC ID: 9436563145 Enrollment ID: O20210201000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Bezzant, CRNA 6510-a S Academy Blvd Ste 110, Colorado Springs, CO 80906-8691 Ph: () - | Ryan Bezzant, CRNA 16420 W Us Highway 24, Woodland Park, CO 80863-8760 Ph: (719) 374-6060 |
Lonnie W. Clark, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 16420 W Us Highway 24, Woodland Park, CO 80863 Phone: 806-790-3928 | |
Mr. Brian Thomas Farstad, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 16420 W Us Highway 24, Pikes Peak Regional Hospital, Woodland Park, CO 80863 Phone: 607-207-7233 |