Jon C Valentine, CRNA | |
1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 | |
(870) 535-7457 | |
(870) 535-2522 |
Full Name | Jon C Valentine |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1801 W 40th Ave, Pine Bluff, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306841358 | NPI | - | NPPES |
5T930 | Other | AR | BCBS |
1346147001 | Medicaid | AR | |
430042624 | Other | RRMCR/PGBA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C01118 (Arkansas) | Primary |
Entity Name | Physicians Day Surgery Center |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1588603351 PECOS PAC ID: 0143129254 Enrollment ID: O20040107000965 |
Entity Name | Physicians Day Surgery Center |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1023057916 PECOS PAC ID: 0143129254 Enrollment ID: O20080929000775 |
Entity Name | Battle Street Surgery Center, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1457077174 PECOS PAC ID: 2860862349 Enrollment ID: O20221227000914 |
Entity Name | Mcfarland Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689378325 PECOS PAC ID: 1557708153 Enrollment ID: O20240319000583 |
Mailing Address | Practice Location Address |
---|---|
Jon C Valentine, CRNA Po Box 1272, Pine Bluff, AR 71613-1272 Ph: (870) 535-7457 | Jon C Valentine, CRNA 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 Ph: (870) 535-7457 |
Gary W Manly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jonathan M Loetscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jason Bobo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3302 Shamrock Dr, Pine Bluff, AR 71603 Phone: 870-489-4864 | |
Walter P Theriot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
James C Rassier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Mr. Nicholas Holloway, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 |