Mr Justin D Williams, CRNA | |
650 E 250 S, Heber City, UT 84032-2149 | |
(435) 671-0031 | |
Not Available |
Full Name | Mr Justin D Williams |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 650 E 250 S, Heber City, 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 |
---|---|---|---|
1285671446 | NPI | - | NPPES |
911387900 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 074792 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Heber Valley Hospital | Heber city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Anesthesia Llc | 9234438649 | 4 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Mountain West Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
Entity Name | Legacy Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851764112 PECOS PAC ID: 9234438649 Enrollment ID: O20160505001075 |
Mailing Address | Practice Location Address |
---|---|
Mr Justin D Williams, CRNA 1485 S Highway 40, Heber City, UT 84032-3522 Ph: (435) 654-2500 | Mr Justin D Williams, CRNA 650 E 250 S, Heber City, UT 84032-2149 Ph: (435) 671-0031 |
Michael A Dagley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1485 S Highway 40, Heber City, UT 84032 Phone: 435-654-2500 | |
Shannon H Hallowell-schemmer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1485 S Highway 40, Heber City, UT 84032 Phone: 435-654-2500 |