| Sean Pruett, CRNA | |
|
5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | |
| (907) 580-5630 | |
| Not Available |
| Full Name | Sean Pruett |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5955 Zeamer Ave, Elmendorf Afb, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679310122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 225541 (Alaska) | Primary |
| Entity Name | Chugach Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093712358 PECOS PAC ID: 2961465653 Enrollment ID: O20041109001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Pruett, CRNA 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 Ph: (907) 580-5630 | Sean Pruett, CRNA 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 Ph: (907) 580-5630 |
Adriana Vargas-geminiano, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Ave, Elmendorf Afb, AK 99506 Phone: 907-580-1815 | |
Mr. Colin Duncan Perry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, Elmendorf Afb, AK 99506 Phone: 937-608-6422 | |
Adam H Dalgleish, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3rd Mdg, 5955 Zeamer Avenue, Elmendorf Afb, AK 99506 Phone: 907-580-1815 |