Jed D Hanks, CRNA | |
98 Poplar St, Blackfoot, ID 83221-1758 | |
(208) 785-3830 | |
Not Available |
Full Name | Jed D Hanks |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 98 Poplar St, Blackfoot, 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 |
---|---|---|---|
1386992097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RNA-849A (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Madison Memorial Hospital | Rexburg, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Madison Anesthesia Services Pa | 9739174152 | 10 |
Entity Name | Madison Anesthesia Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558392571 PECOS PAC ID: 9739174152 Enrollment ID: O20040415001317 |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Mailing Address | Practice Location Address |
---|---|
Jed D Hanks, CRNA Po Box 1627, Idaho Falls, ID 83403-1627 Ph: (208) 552-8778 | Jed D Hanks, CRNA 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-3830 |
Blake G Purcell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-5100 | |
Mr. Ryan T Sayre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Brandon K Pieper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Grant Gundersen, CNRA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 646 W 300 S, Blackfoot, ID 83221 Phone: 208-760-7529 | |
Henry M Adams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-5100 | |
Zachary D Morrow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 |