Mr Benjamin Shane Nuti, CRNA | |
914 Pine Street, Mount Shasta, CA 96067 | |
(530) 926-6111 | |
(530) 926-0245 |
Full Name | Mr Benjamin Shane Nuti |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 914 Pine Street, Mount Shasta, 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 |
---|---|---|---|
1447456132 | NPI | - | NPPES |
05502 | Other | IA | WELLMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3558 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center Of Mt Shasta | Mount shasta, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parish Anesthesia Of California A Professional Medical Corporation | 0244463925 | 5 |
Entity Name | Last Frontier Healthcare District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487669032 PECOS PAC ID: 2466447412 Enrollment ID: O20040419000563 |
Entity Name | Mayers Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912125667 PECOS PAC ID: 6305804196 Enrollment ID: O20041227000593 |
Entity Name | Parish Anesthesia Of California A Professional Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790106862 PECOS PAC ID: 0244463925 Enrollment ID: O20140503000084 |
Mailing Address | Practice Location Address |
---|---|
Mr Benjamin Shane Nuti, CRNA 914 Pine Street, Mount Shasta, CA 96067 Ph: (530) 926-6111 | Mr Benjamin Shane Nuti, CRNA 914 Pine Street, Mount Shasta, CA 96067 Ph: (530) 926-6111 |
Robert C Brucker, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 914 Pine St, Mount Shasta, CA 96067 Phone: 530-926-6111 Fax: 530-926-0517 | |
Debra Dawn Machain, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 623 Everitt Memorial Hwy, Mount Shasta, CA 96067 Phone: 530-925-2797 | |
Mr. Donald W Morris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1225 Beks Ln, Mount Shasta, CA 96067 Phone: 530-526-3422 |