Jeremy Shane Bison, CRNA | |
2430 W Pierce St, Carlsbad, NM 88220-3553 | |
(318) 934-2242 | |
Not Available |
Full Name | Jeremy Shane Bison |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 2430 W Pierce St, Carlsbad, New Mexico |
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 |
---|---|---|---|
1194079806 | NPI | - | NPPES |
78584051 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CRNA-01281 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern New Mexico Medical Center | Roswell, NM | Hospital |
Baylor Scott & White Medical Center-white Rock | Dallas, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 149 |
Northstar Anesthesia Iii Pa | 0042630501 | 338 |
Dynamic Anesthesia Providers, Pllc | 0547529596 | 75 |
Northstar Anesthesia Pa | 7315907128 | 265 |
Entity Name | Main Street Anesthesia Of New Mexico, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Shane Bison, CRNA Po Box 1547, Sedalia, MO 65302-1547 Ph: (660) 826-5960 | Jeremy Shane Bison, CRNA 2430 W Pierce St, Carlsbad, NM 88220-3553 Ph: (318) 934-2242 |
Cameron Scott Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 W Pierce St, Carlsbad, NM 88220 Phone: 575-887-4100 | |
Diana P Levy, MSN, MBA, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 Phone: 575-887-4100 Fax: 575-887-4531 | |
Mr. Rene Salinas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 W Pierce St, Carlsbad, NM 88220 Phone: 575-887-4190 | |
Jonathan Wayne Barnett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 W Pierce St, Carlsbad, NM 88220 Phone: 575-887-4100 | |
Alfonso Jimenez Haro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 W Pierce St, Carlsbad, NM 88220 Phone: 575-887-4100 | |
Mr. Michael John Smith, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 316 S James St, Carlsbad, NM 88220 Phone: 217-249-4063 Fax: 575-887-7626 |