| Tara Mccutcheon, CRNA | |
| 2801 Debarr Rd, Anchorage, AK 99508-2932 | |
| (801) 915-1873 | |
| Not Available | 
| Full Name | Tara Mccutcheon | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 2801 Debarr Rd, Anchorage, Alaska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033989645 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 218470 (Alaska) | Primary | 
| Entity Name | Denali Anesthesia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508854712 PECOS PAC ID: 2567455678 Enrollment ID: O20040405001747 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tara Mccutcheon, CRNA 323 E Ramona Ave, Salt Lake City, UT 84115-2219 Ph: (801) 915-1873 | Tara Mccutcheon, CRNA 2801 Debarr Rd, Anchorage, AK 99508-2932 Ph: (801) 915-1873 | 
| Mrs. Jennifer Rae Ambrose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Otis Pkwy, Suite 222, Anchorage, AK 99508 Phone: 612-269-1918 | |
| Waldron Upham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Otis Pkwy, Anchorage, AK 99508 Phone: 907-550-6110 | |
| Bucky M Frost, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4315 Diplomacy Dr, Attn: Sherry Reedy, Anchorage, AK 99508 Phone: 907-729-3971 Fax: 907-729-1542 | |
| Suzanne C Firth, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Avenue, Anchorage, AK 99506 Phone: 907-580-1815 | |
| Mrs. Alicia Marie Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Clipper Ship Ct, Anchorage, AK 99515 Phone: 907-306-1274 | |
| Angela Malcom, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4100 Lake Otis Pkwy, Anchorage, AK 99508 Phone: 907-550-6110 |