Justin R Fenus, JUSTIN FENUS | |
190 Seminole Dr, Evanston, WY 82930-6600 | |
(801) 367-4997 | |
Not Available |
Full Name | Justin R Fenus |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 190 Seminole Dr, Evanston, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912298530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 29266.1109 (Wyoming) | Primary |
Entity Name | Riverton Physician Practices, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205875614 PECOS PAC ID: 8426954496 Enrollment ID: O20040505000232 |
Entity Name | Evanston Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013288836 PECOS PAC ID: 7113900358 Enrollment ID: O20040609001235 |
Entity Name | Evanston Anesthesia Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891979258 PECOS PAC ID: 5991883514 Enrollment ID: O20080423000335 |
Mailing Address | Practice Location Address |
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Justin R Fenus, JUSTIN FENUS 190 Seminole Dr, Evanston, WY 82930-6600 Ph: (801) 367-4997 | Justin R Fenus, JUSTIN FENUS 190 Seminole Dr, Evanston, WY 82930-6600 Ph: (801) 367-4997 |
Richard Carver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 195 Overthrust Rd., Evanston, WY 82930 Phone: 307-444-3600 Fax: 307-789-3760 | |
Mr. Kenneth Francis Robison, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 190 Arrowhead Dr, Evanston, WY 82930 Phone: 307-789-3636 | |
Tyler Lee Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 Arrowhead Dr, Evanston, WY 82930 Phone: 307-789-3636 Fax: 307-783-8167 |