| Stephanie A Hicks, CRNA | |
|
715 N Weber St Ste 100, Colorado Springs, CO 80903-1092 | |
| (719) 473-6155 | |
| Not Available |
| Full Name | Stephanie A Hicks |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 715 N Weber St Ste 100, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548219918 | NPI | - | NPPES |
| 9000180220 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704226066 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN.0994601-CRNA (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epix Anesthesia Of Colorado Springs, Llc | 4688838642 | 2 |
| Novamed Surgery Center Of Colorado Springs, Llc | 5294625810 | 7 |
| Entity Name | Anesthesia Of The Rocky Mountains, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245547850 PECOS PAC ID: 7517155880 Enrollment ID: O20101230000865 |
| Entity Name | Novamed Surgery Center Of Denver Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639447154 PECOS PAC ID: 8022059823 Enrollment ID: O20120402000322 |
| Entity Name | Epix Anesthesia Of Colorado Springs, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295008472 PECOS PAC ID: 4688838642 Enrollment ID: O20120604000467 |
| Entity Name | Us Anesthesia Partners Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
| Entity Name | Novamed Surgery Center Of Colorado Springs, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750794681 PECOS PAC ID: 5294625810 Enrollment ID: O20141006000615 |
| Entity Name | Optumcare Colorado Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407252828 PECOS PAC ID: 2769706431 Enrollment ID: O20150129000413 |
| Entity Name | Cpr Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326436353 PECOS PAC ID: 7416272927 Enrollment ID: O20150204000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie A Hicks, CRNA 2 S Cascade Ave Ste 140, Colorado Springs, CO 80903-1604 Ph: (719) 539-2900 | Stephanie A Hicks, CRNA 715 N Weber St Ste 100, Colorado Springs, CO 80903-1092 Ph: (719) 473-6155 |
Robert A. Rota, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 320 E Fontanero St, Ste 101, Colorado Springs, CO 80907 Phone: 719-227-9711 | |
Audrey Sonin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Juana Lopez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Blair Beougher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Colorado Springs, CO 80913 Phone: 719-526-7000 | |
Brent Jon Persons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 Southpointe Ct Ste 107, Colorado Springs, CO 80906 Phone: 719-203-6111 Fax: 877-247-9218 | |
Bryan Scott Ferrara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913 Phone: 719-526-5231 | |
Amanda Marie Dekker, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Colorado Springs, CO 80913 Phone: 719-526-7942 |