Cody Lamar Oliverson, CRNA | |
3100 Channing Way, Idaho Falls, ID 83404-7533 | |
(208) 529-6111 | |
Not Available |
Full Name | Cody Lamar Oliverson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 3100 Channing Way, Idaho Falls, Idaho |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932753878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 48308 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 62583 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeastern Nevada Regional Hospital | Elko, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western Anesthesia Provider Group-scherr, P.c. | 6204160385 | 4 |
Entity Name | Western Anesthesia Provider Group-scherr, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801450572 PECOS PAC ID: 6204160385 Enrollment ID: O20190624001551 |
Mailing Address | Practice Location Address |
---|---|
Cody Lamar Oliverson, CRNA Po Box 94289, Ms 631130, Seattle, WA 98124 Ph: (866) 487-0277 | Cody Lamar Oliverson, CRNA 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6111 |
Reed D Loertscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6285 | |
Mr. David Joseph Swope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2375 E Sunnyside Rd, Suite B, Idaho Falls, ID 83404 Phone: 208-421-1159 | |
Carlene M Canfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 E 17th St, Idaho Falls, ID 83404 Phone: 208-525-2090 Fax: 208-525-2662 | |
Douglas Jex, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269 | |
Mr. Bryan Todd Merkley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-557-2700 | |
Dr. Scott Havard, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 207-745-4081 | |
Brent Michael Sutherland, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2532 Coronado, Idaho Falls, ID 83404 Phone: 208-557-2700 |