Jesse Hyrum Hansen, CRNA | |
415 6th St, Lewiston, ID 83501-2434 | |
(208) 750-7445 | |
Not Available |
Full Name | Jesse Hyrum Hansen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 415 6th St, Lewiston, 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 |
---|---|---|---|
1255885927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95099542 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 62297 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | St Joseph Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20190702000908 |
Mailing Address | Practice Location Address |
---|---|
Jesse Hyrum Hansen, CRNA 10604 E Native Rose Trl, Tucson, AZ 85747-6020 Ph: (530) 331-0456 | Jesse Hyrum Hansen, CRNA 415 6th St, Lewiston, ID 83501-2434 Ph: (208) 750-7445 |
Kyle James Daly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Mr. Matthew George Krahn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Carl M Matthews, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Mr. Michael Stormes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5400 | |
Dustin Lee Elben, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Casey J Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Brian Lorin Bullock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 239-896-3934 |