Mr Loren B Thiel, MS CRNA | |
111 S 5th St, Douglas, WY 82633-2434 | |
(307) 358-2122 | |
Not Available |
Full Name | Mr Loren B Thiel |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 32 Years |
Location | 111 S 5th St, Douglas, Wyoming |
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 |
---|---|---|---|
1063503514 | NPI | - | NPPES |
311834 | Other | WY | BCBS |
114342500 | Medicaid | WY | |
P00065251 | Other | RAILROAD MC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 192490704 (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Converse County | Douglas, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hospital Of Converse County | 2264340843 | 60 |
Entity Name | Memorial Hospital Of Converse County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20031203000672 |
Mailing Address | Practice Location Address |
---|---|
Mr Loren B Thiel, MS CRNA Po Box 1385, Idaho Falls, ID 83403-1385 Ph: (208) 525-2090 | Mr Loren B Thiel, MS CRNA 111 S 5th St, Douglas, WY 82633-2434 Ph: (307) 358-2122 |
Mr. Troy Eldon Votruba, CRNA, APRN, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-2122 | |
Charles R Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-359-8667 | |
Ms. Shauna R Kohler, MS CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th Street, Douglas, WY 82633 Phone: 307-358-2122 |