| Shane Garst, CRNA | |
|
207 W. Legion Rd., Brawley, CA 92227-7780 | |
| (760) 351-3288 | |
| Not Available |
| Full Name | Shane Garst |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 207 W. Legion Rd., Brawley, California |
| 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 |
|---|---|---|---|
| 1659739183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000471 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San diego, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Of The University Of California | 3577476761 | 1890 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265535702 PECOS PAC ID: 3577476761 Enrollment ID: O20040102000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Garst, CRNA 1660 Seattle Slew Way, Oceanside, CA 92057-5621 Ph: (619) 788-4408 | Shane Garst, CRNA 207 W. Legion Rd., Brawley, CA 92227-7780 Ph: (760) 351-3288 |
Mrs. Theresa Marie Nolan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 207 W. Legion Rd., Brawley, CA 92227 Phone: 760-351-3288 | |
Teresa Ilene Bero Alcantara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3288 | |
Mr. Francis Gary Lum, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 Fax: 619-582-8957 | |
Joseph Aurelio Andrade, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 | |
Mr. Brian Craig O'hair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3288 | |
Glenn Alan Clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 | |
Clinton E. Flentje, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 W. Legion, Brawley, CA 92227 Phone: 760-351-3288 |