| Mr Gordon W Hiebert, CRNA | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 888-5858 | |
| Not Available |
| Full Name | Mr Gordon W Hiebert |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 Guthrie Sq, Sayre, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699734392 | NPI | - | NPPES |
| 430010369 | Other | PA | RR MEDICARE PIN |
| CC9269 | Other | PA | RR MEDICARE PIN |
| GU039832 | Other | PA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN202060L (Pennsylvania) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 366676-1 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gordon W Hiebert, CRNA 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Mr Gordon W Hiebert, CRNA 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Mr. Edward G. Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Mr. Michael D. Beredo, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-887-4464 | |
Mr. Jeffrey Quinton Owen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Cathleen C Mall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 | |
Joseph Herman Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Monica L Albertson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5583 Fax: 570-887-4464 | |
Mr. Kevin J. Millar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 |