Jeremy Thomas Johnson, CRNA | |
1253 Nw Canal Blvd, Redmond, OR 97756-1334 | |
(541) 548-8131 | |
Not Available |
Full Name | Jeremy Thomas Johnson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 1253 Nw Canal Blvd, Redmond, Oregon |
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 |
---|---|---|---|
1144415233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 196302 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 201393463CRNA (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Medical Center - Bend | Bend, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bend Anesthesiology Group, Pc | 4880683788 | 53 |
Entity Name | St Charles Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Entity Name | Bend Anesthesiology Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467400200 PECOS PAC ID: 4880683788 Enrollment ID: O20040506001575 |
Entity Name | St Charles Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023331303 PECOS PAC ID: 8729111513 Enrollment ID: O20100730000227 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Thomas Johnson, CRNA Po Box 3330, Salt Lake City, UT 84110-3330 Ph: (888) 333-1095 | Jeremy Thomas Johnson, CRNA 1253 Nw Canal Blvd, Redmond, OR 97756-1334 Ph: (541) 548-8131 |
John Michael Unruh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-516-3877 | |
Rachel Lynne Mitzel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-706-3765 | |
Christopher A Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-516-3877 | |
Olivia Boots, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 |