Mr Cecil Timothy Jackson, CRNA | |
90 Highway 91 South, C/o Barrett Hospital & Healthcare, Dillon, MT 59725-3597 | |
(406) 683-3000 | |
(406) 683-3011 |
Full Name | Mr Cecil Timothy Jackson |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 90 Highway 91 South, Dillon, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851330666 | NPI | - | NPPES |
29774 | Other | MT | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 29774 (Montana) | Primary |
Entity Name | Steele Memorial Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851403265 PECOS PAC ID: 9436131265 Enrollment ID: O20040604000056 |
Mailing Address | Practice Location Address |
---|---|
Mr Cecil Timothy Jackson, CRNA 203 S Daisy St, Salmon, ID 83467-4709 Ph: (208) 756-2429 | Mr Cecil Timothy Jackson, CRNA 90 Highway 91 South, C/o Barrett Hospital & Healthcare, Dillon, MT 59725-3597 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 | |
Kenny Joe Wallen, D.N.P. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 State Hwy 91 S, Dillon, MT 59725 Phone: 406-683-3000 | |
Timothy Hall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 |