| Shannon Killian Patrick, CRNA | |
|
2823 Fresno St, Fresno, CA 93721-1324 | |
| (559) 459-6000 | |
| Not Available |
| Full Name | Shannon Killian Patrick |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 2823 Fresno St, Fresno, 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 |
|---|---|---|---|
| 1871010702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000756 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Treasure Valley Hospital | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiology Consultants Of Treasure Valley Pllc | 4981661196 | 26 |
| Entity Name | Anesthesiology Consultants Of Treasure Valley Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124066063 PECOS PAC ID: 4981661196 Enrollment ID: O20041220000096 |
| Entity Name | West Idaho Anesthesia, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871918318 PECOS PAC ID: 9133343031 Enrollment ID: O20140616001943 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Killian Patrick, CRNA 6125 W Pinedale Ave, Fresno, CA 93722-2639 Ph: () - | Shannon Killian Patrick, CRNA 2823 Fresno St, Fresno, CA 93721-1324 Ph: (559) 459-6000 |
Dr. Joseph William Martin, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Fresno & R Street, Fresno, CA 93721 Phone: 559-459-6000 | |
Dr. Thomas Fuentez Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Nathan J Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-4349 Fax: 559-459-4103 | |
Saul Armando Perez Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7417 N Cedar Ave, Fresno, CA 93720 Phone: 559-436-0871 | |
Vernon Chad Nielsen, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-6000 | |
Dr. Jorge Lopez, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 N Diana St, Fresno, CA 93701 Phone: 559-940-4177 | |
Casey Jordan Elison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-6000 Fax: 559-498-8182 |