Mr Justin R Gibb, CRNA | |
351 Sw 9th St, Ontario, OR 97914-2639 | |
(541) 881-7140 | |
Not Available |
Full Name | Mr Justin R Gibb |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 351 Sw 9th St, Ontario, Oregon |
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 |
---|---|---|---|
1023263894 | NPI | - | NPPES |
500603268 | Medicaid | OR | |
1023263894 | Medicaid | ID | |
P00725584 | Other | RAILROAD MEDICARE | |
2701125 | Other | REGENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RNA728 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 200860041CRNA (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Treasure Valley Anesthesia Pc | 2365414497 | 5 |
Treasure Valley Anesthesia Pc | 2365414497 | 5 |
Entity Name | Salem Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912935594 PECOS PAC ID: 7517954514 Enrollment ID: O20040430000150 |
Entity Name | Treasure Valley Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215992003 PECOS PAC ID: 2365414497 Enrollment ID: O20040810000538 |
Entity Name | Saint Alphonsus Medical Center Baker City Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881726206 PECOS PAC ID: 4981732518 Enrollment ID: O20100618000209 |
Mailing Address | Practice Location Address |
---|---|
Mr Justin R Gibb, CRNA Po Box 2936, Idaho Falls, ID 83403-2936 Ph: (208) 552-8773 | Mr Justin R Gibb, CRNA 351 Sw 9th St, Ontario, OR 97914-2639 Ph: (541) 881-7140 |
Mr. Frederick R Starr, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7140 | |
Mr. Aaron R Gopp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7140 | |
Mr. Michael E Ohara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7140 | |
Russell Jon Watson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7000 | |
Spencer D Stucki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7000 | |
John R Kerfoot, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7146 |