Kyle Thomas Shibley, CRNA | |
1002 N Spokane St, Post Falls, ID 83854-6731 | |
(208) 457-7078 | |
Not Available |
Full Name | Kyle Thomas Shibley |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 1002 N Spokane St, Post Falls, Idaho |
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 |
---|---|---|---|
1417449380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 59608 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
Providence Holy Family Hospital | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Service- Washington | 0840279758 | 156 |
Entity Name | Providence Health & Service- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
Mailing Address | Practice Location Address |
---|---|
Kyle Thomas Shibley, CRNA 1002 N Spokane St, Post Falls, ID 83854-6731 Ph: (208) 457-7078 | Kyle Thomas Shibley, CRNA 1002 N Spokane St, Post Falls, ID 83854-6731 Ph: (208) 457-7078 |
Eric T Riley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2400 Fax: 208-262-2412 | |
Clarke B Webb, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2400 Fax: 208-262-2412 | |
Barry D Honcoop, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2400 Fax: 208-262-2412 | |
Joseph S Funk, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2400 Fax: 208-262-2412 | |
Ronald H Rock, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2314 | |
Raymond J Bertoni, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2400 |