Michael Robert Allen, CRNA | |
2537 W State St, Boise, ID 83702-2200 | |
(208) 336-0895 | |
Not Available |
Full Name | Michael Robert Allen |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2537 W State St, Boise, Idaho |
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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1215652375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163WC0200X | Registered Nurse - Critical Care Medicine | 44136 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 75374 (Idaho) | Primary |
Entity Name | Anesthesia Associates Of Boise, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033147467 PECOS PAC ID: 2668385287 Enrollment ID: O20031110000655 |
Mailing Address | Practice Location Address |
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Michael Robert Allen, CRNA 7336 W Coho Dr, Boise, ID 83709-5691 Ph: (208) 921-4113 | Michael Robert Allen, CRNA 2537 W State St, Boise, ID 83702-2200 Ph: (208) 336-0895 |
Allison Elisabeth May, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Mr. Douglas Neurath, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 | |
Jordan B Wolff, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 Fax: 208-338-1796 | |
Nathan S Call, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Ashton Hope Mieritz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 | |
Kenneth Clark Stratton Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2559 | |
Diana San Juan Shimko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-6416 |