Justin William Graham, CRNA | |
635 N 152nd Cir, Omaha, NE 68154-1801 | |
(308) 631-8533 | |
Not Available |
Full Name | Justin William Graham |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 2 Years |
Location | 635 N 152nd Cir, Omaha, Nebraska |
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 |
---|---|---|---|
1326618166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 75076 (Nebraska) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 101710 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi Health Immanuel | Omaha, NE | Hospital |
Nebraska Spine Hospital, Llc | Omaha, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chi Health Clinic Physician Enterprise-anesthesia Llc | 2264794569 | 174 |
Chi Health Clinic Physician Enterprise-anesthesia Llc | 2264794569 | 174 |
Entity Name | Chi Health Clinic Physician Enterprise-anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356858419 PECOS PAC ID: 2264794569 Enrollment ID: O20180404000022 |
Mailing Address | Practice Location Address |
---|---|
Justin William Graham, CRNA 970 S 192nd Ct Unit 108, Elkhorn, NE 68022-3304 Ph: (308) 631-8533 | Justin William Graham, CRNA 635 N 152nd Cir, Omaha, NE 68154-1801 Ph: (308) 631-8533 |
Mrs. Dorothy Valasek Adley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8051 West Center Rd., Omaha, NE 68124 Phone: 402-391-3333 | |
Jenna Sullivan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7500 Mercy Road, Omaha, NE 68124 Phone: 402-398-6060 | |
Mrs. Caressa Lynn Kiichler, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4081 Fax: 402-559-7372 | |
Taylor Mueller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4000 | |
John Michael Mccabe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8051 W Center Rd, Omaha, NE 68124 Phone: 402-391-3333 Fax: 402-391-8593 | |
Janet J. Lemonds, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8303 Dodge St, Omaha, NE 68114 Phone: 402-354-4000 | |
Leslie Erin Bonnet, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-4081 Fax: 402-559-7372 |