Jared Weishaar, | |
501 S Burma Ave, Gillette, WY 82716-3426 | |
(307) 688-1000 | |
Not Available |
Full Name | Jared Weishaar |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 501 S Burma Ave, Gillette, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295242907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 41019.1705 (Wyoming) | Primary |
Entity Name | Campbell County Hospital District |
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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 |
---|---|
Jared Weishaar, 4311 Quarter Circle Ct, Gillette, WY 82718-2022 Ph: () - | Jared Weishaar, 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 688-1000 |
Dana G Halbrooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Brian E. Austin, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1524 Fax: 307-687-7243 | |
Nancy Rusch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-696-3347 | |
Amanda Raye Zuck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 W Lakeway Rd Ste 3, Gillette, WY 82718 Phone: 307-682-7819 | |
Dallin Lee Bracken, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Rebecca Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 W 3rd St, Gillette, WY 82716 Phone: 307-687-7246 |