| Theresa Diane Keefer, CRNA | |
|
1338 Phay Ave, Canon City, CO 81212-2311 | |
| (719) 285-2861 | |
| (719) 285-2101 |
| Full Name | Theresa Diane Keefer |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 1338 Phay Ave, Canon City, 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 |
|---|---|---|---|
| 1477857274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN.0100024-CRNA (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Campbell County Health | Gillette, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Campbell County Hospital District | 2860392529 | 129 |
| Entity Name | Campbell County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Diane Keefer, CRNA 2920 N Cascade Ave, Fl 3, Colorado Springs, CO 80907-6262 Ph: (719) 285-2861 | Theresa Diane Keefer, CRNA 1338 Phay Ave, Canon City, CO 81212-2311 Ph: (719) 285-2861 |
Mr. Richard E Fenn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2434 Fax: 719-285-2101 | |
Mrs. Teri Y Alberty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2434 Fax: 719-285-2101 | |
Darran Dee Sawyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2861 Fax: 719-285-2101 | |
Lisa G Pearson, DNAP, CRNA, NSPMC Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 113 Latigo Lane, Suite D, Canon City, CO 81212 Phone: 719-371-0000 | |
Larry Steven Mcmillen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 933 Sells Ave, Canon City, CO 81212 Phone: 719-275-6433 | |
Ms. Kelly Gilkerson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2861 Fax: 719-285-2101 |