| Ryan Larsen, CRNA | |
|
2025 Morse Ave, Sacramento, CA 95825-2115 | |
| (916) 973-7259 | |
| Not Available |
| Full Name | Ryan Larsen |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2025 Morse Ave, Sacramento, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346667300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000066 (California) | Primary |
| Entity Name | Blue Skies Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144070673 PECOS PAC ID: 1254869803 Enrollment ID: O20250109001777 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Larsen, CRNA 2025 Morse Ave, Sacramento, CA 95825-2115 Ph: (916) 973-7259 | Ryan Larsen, CRNA 2025 Morse Ave, Sacramento, CA 95825-2115 Ph: (916) 973-7259 |
Shannon Kentera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-7254 | |
Austin Amasowomwan, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Po Box 231185, Sacramento, CA 95823 Phone: 916-320-7699 | |
Kenneth D. Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975 | |
Thomas M. Goodnow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975 | |
Rasheed Ahmad Khan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696 | |
Kimberly Beres, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V Street, Pssb Ste 1200, Dept Of Anesthesiology And Pain Medicine, Sacramento, CA 95817 Phone: 916-734-5028 Fax: 916-734-2975 | |
Mr. Lewis Lindley Dewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696 |