Mr Alton Riley Pugh, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Blanding, Utah. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Blue Mountain Hospital and his current practice location is
802 S 200 W, Blanding, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 678-3993.
Mr Alton Riley Pugh is licensed to practice in Utah (license number 5133328-4406) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477885994.
Provider's Profile
| Full Name | Mr Alton Riley Pugh |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 15 Years |
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| Location | 802 S 200 W, Blanding, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Alton Riley Pugh graduated from nursing school in 2009
NPI Data:
- NPI Number: 1477885994
- Provider Enumeration Date: 02/09/2010
- Last Update Date: 04/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 0446386023
- Enrollment ID: I20120813000341
Medical Identifiers
Medical identifiers for Mr Alton Riley Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477885994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | COA11321 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 5133328-4406 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Blue Mountain Hospital | 0749344661 | 8 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Alton Riley Pugh allows following entities to bill medicare on his behalf.
| Entity Name | Utah Navajo Health System Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811991151
PECOS PAC ID: 1658275649
Enrollment ID: O20031121000239 |
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| Entity Name | Blue Mountain Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558513812
PECOS PAC ID: 0749344661
Enrollment ID: O20090203000527 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Alton Riley Pugh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Alton Riley Pugh, CRNA
802 S 200 W,
Blanding, UT 84511-3910
Ph: (435) 678-3993 | Mr Alton Riley Pugh, CRNA
802 S 200 W,
Blanding, UT 84511
Ph: (435) 678-3993 |
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