Kenny Joe Wallen, DNP | |
600 State Hwy 91 S, Dillon, MT 59725-7379 | |
(406) 683-3000 | |
Not Available |
Full Name | Kenny Joe Wallen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 600 State Hwy 91 S, Dillon, Montana |
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 |
---|---|---|---|
1649628553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 132231 (Montana) | Primary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 132231 (Montana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St James Healthcare | Butte, MT | Hospital |
Community Hospital Of Anaconda | Anaconda, MT | Hospital |
Barrett Hospital & Healthcare | Dillon, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scl Health Medical Group-butte Llc | 2466633102 | 69 |
Community Hospital Of Anaconda | 8123938974 | 27 |
Entity Name | Community Hospital Of Anaconda |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1205887924 PECOS PAC ID: 8123938974 Enrollment ID: O20030507000045 |
Entity Name | Community Hospital Of Anaconda |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538597703 PECOS PAC ID: 8123938974 Enrollment ID: O20031119000745 |
Entity Name | Livingston Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245222306 PECOS PAC ID: 5991613598 Enrollment ID: O20031122000111 |
Entity Name | Powell County Memorial Hospital Association Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841414026 PECOS PAC ID: 6103734728 Enrollment ID: O20040917001067 |
Entity Name | Billings Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212 |
Entity Name | Scl Health Medical Group-butte Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477869600 PECOS PAC ID: 2466633102 Enrollment ID: O20110301000023 |
Entity Name | Barrett Hospital Development Corporation |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1396286480 PECOS PAC ID: 4082904487 Enrollment ID: O20170223001015 |
Entity Name | Advanced Anesthesia Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124710207 PECOS PAC ID: 6103288147 Enrollment ID: O20230808003150 |
Mailing Address | Practice Location Address |
---|---|
Kenny Joe Wallen, DNP 386 White Horse Loop, Bozeman, MT 59718-1223 Ph: (918) 906-1697 | Kenny Joe Wallen, DNP 600 State Hwy 91 S, Dillon, MT 59725-7379 Ph: (406) 683-3000 |
Mr. Neal M Maxfield, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 | |
Dennis B. Hatfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Highway 91 South, Dillon, MT 59725 Phone: 406-683-2323 | |
Kathleen S Maunu, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 Fax: 406-683-3027 | |
Gordon H. Lucas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Highway 91 South, Dillon, MT 59725 Phone: 406-683-3000 | |
Mr. Cecil Timothy Jackson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 90 Highway 91 South, C/o Barrett Hospital & Healthcare, Dillon, MT 59725 Phone: 406-683-3000 Fax: 406-683-3011 | |
Timothy Hall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 |