Matthew A Smith, CRNA | |
2055 N Main St., Tooele, UT 84074 | |
(435) 843-3600 | |
Not Available |
Full Name | Matthew A Smith |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 2055 N Main St., Tooele, Utah |
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 |
---|---|---|---|
1114011905 | NPI | - | NPPES |
86048U | Other | TX | HMO BLUE |
147826101 | Other | TX | FIRSTCARE COMMERCIAL |
67417 | Medicaid | TX | |
86049U | Other | TX | BC/BS |
147826100 | Medicaid | TX | |
200074480A | Medicaid | OK | |
202004760 | Other | NM | PRESBYTERIAN COMMERCIAL |
202004760 | Medicaid | NM | |
1114011905 | Medicaid | UT | |
180263901 | Medicaid | TX | |
42324777 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 722182 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain West Medical Center | Tooele, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Desert Peak Anesthesia, Llc | 6002884996 | 8 |
Entity Name | Desert Peak Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518972280 PECOS PAC ID: 6002884996 Enrollment ID: O20040920000002 |
Mailing Address | Practice Location Address |
---|---|
Matthew A Smith, CRNA Po Box 268, Bountiful, UT 84011-0268 Ph: (801) 296-2113 | Matthew A Smith, CRNA 2055 N Main St., Tooele, UT 84074 Ph: (435) 843-3600 |
Robin B. Bradshaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Annette S Proctor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Evie Anna Purdom, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Christopher David Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-8543 | |
Mr. Kyle H Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Mark E Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 |