Jon C Weber, CRNA | |
800 E 21st St, Sioux Falls, SD 57105-1016 | |
(605) 322-2754 | |
(605) 322-2727 |
Full Name | Jon C Weber |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 800 E 21st St, Sioux Falls, South Dakota |
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 |
---|---|---|---|
1114939345 | NPI | - | NPPES |
5754750 | Medicaid | SD | |
460224743-48 | Medicaid | NE | |
4994704 | Other | SD | SD BLUE CROSS PROV # |
0714709 | Medicaid | IA | |
5754754 | Medicaid | SD | |
RO30913 | Other | SD | DAKOTACARE PROV # |
307G8WE | Other | MN | MN BLUE CROSS PROV # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R030913-0600 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avera Mckennan | 0345157103 | 833 |
Sanford Health Network | 6800707100 | 281 |
Entity Name | Avera Mckennan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Entity Name | Sanford Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790721280 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
Entity Name | Huron Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20040123000946 |
Entity Name | Sacred Heart Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861611683 PECOS PAC ID: 6103729066 Enrollment ID: O20040128000978 |
Entity Name | Prairie Lakes Health Care Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
Entity Name | Avera St Marys |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
Mailing Address | Practice Location Address |
---|---|
Jon C Weber, CRNA 800 E 21st St, Sioux Falls, SD 57105-1016 Ph: (605) 322-2754 | Jon C Weber, CRNA 800 E 21st St, Sioux Falls, SD 57105-1016 Ph: (605) 322-2754 |
Jedd D Bialas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
Aaron Daniel Mortensen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
Austin Wade Fox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-8000 | |
Paul E Gilmore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
John A Lyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 21st St, Sioux Falls, SD 57105 Phone: 605-322-2754 Fax: 605-322-2727 | |
Christopher Brusseau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th Street, Anesthesia Department, Sioux Falls, SD 57117 Phone: 605-312-1225 Fax: 605-312-1226 | |
Gay J Heitmann, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 |