Bryan William Leuenhagen, CRNA | |
1055 N Curtis Rd, Boise, ID 83706-1352 | |
(208) 367-6416 | |
Not Available |
Full Name | Bryan William Leuenhagen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1055 N Curtis Rd, Boise, Idaho |
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 |
---|---|---|---|
1649226168 | NPI | - | NPPES |
806473500 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | N31597 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RNA538 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Valley Medical Center | Caldwell, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Consulting Partners Idaho Pc | 5092164806 | 15 |
St Alphonsus Professional Medical Services Llc | 7214849751 | 64 |
Entity Name | Boise Anesthesia, P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487602298 PECOS PAC ID: 8426960642 Enrollment ID: O20031105000132 |
Entity Name | St Alphonsus Professional Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184 |
Entity Name | Anesthesia Consulting Partners Idaho Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568241362 PECOS PAC ID: 5092164806 Enrollment ID: O20231205002846 |
Mailing Address | Practice Location Address |
---|---|
Bryan William Leuenhagen, CRNA Po Box 741114, Chicago, IL 60674-0001 Ph: (208) 367-5170 | Bryan William Leuenhagen, CRNA 1055 N Curtis Rd, Boise, ID 83706-1352 Ph: (208) 367-6416 |
Allison Elisabeth May, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Mr. Douglas Neurath, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 | |
Jordan B Wolff, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 Fax: 208-338-1796 | |
Nathan S Call, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Ashton Hope Mieritz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 | |
Kenneth Clark Stratton Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2559 | |
Diana San Juan Shimko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-6416 |