John R Killpack, CRNA | |
1303 N Main St, Cedar City, UT 84720-9746 | |
(801) 993-9501 | |
(801) 733-5618 |
Full Name | John R Killpack |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 1303 N Main St, Cedar City, Utah |
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 |
---|---|---|---|
1275647489 | NPI | - | NPPES |
597854 | Other | UT | HEALTHY U |
2000630 | Other | UT | UNITED HEALTHCARE |
851396 | Other | UT | DESERET MUTUAL |
943284 | Medicaid | AZ | |
TPRA09124 | Other | UT | MOLINA |
107026813102 | Other | UT | IHC |
79799 | Other | UT | PEHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 201807-4406 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cedar City Hospital | Cedar city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cedar Anesthesia Group Llp | 0345240966 | 12 |
Entity Name | Cedar Anesthesia Group Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821176132 PECOS PAC ID: 0345240966 Enrollment ID: O20070203000175 |
Mailing Address | Practice Location Address |
---|---|
John R Killpack, CRNA 2174 N Cliffrose Cir, Cedar City, UT 84720-7765 Ph: (435) 531-6668 | John R Killpack, CRNA 1303 N Main St, Cedar City, UT 84720-9746 Ph: (801) 993-9501 |
William Michael Dancer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1303 N Main St, Cedar City, UT 84720 Phone: 801-993-9501 Fax: 801-733-5872 | |
Steven T Heelis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1303 N Main St, Cedar City, UT 84720 Phone: 801-993-9501 Fax: 801-733-5872 | |
Mr. Robert Eugene Wise, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 195 E Fiddlers Canyon Rd, Unit 14, Cedar City, UT 84720 Phone: 435-559-3136 | |
Shawn F Kinross, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1303 N Main St, Cedar City, UT 84720 Phone: 801-993-9501 Fax: 801-733-5872 | |
Wayne Lewis Stubbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1303 N Main St, Cedar City, UT 84720 Phone: 801-993-9501 Fax: 801-733-5872 |