Russell Jon Watson, CRNA | |
351 Sw 9th St, Ontario, OR 97914-2639 | |
(541) 881-7000 | |
Not Available |
Full Name | Russell Jon Watson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 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 |
---|---|---|---|
1346562113 | NPI | - | NPPES |
1346562113 | Medicaid | OR | |
1346562113 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 201160057CRNA (Oregon) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RNA-912A (Idaho) | 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 | Treasure Valley Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215992003 PECOS PAC ID: 2365414497 Enrollment ID: O20040810000538 |
Mailing Address | Practice Location Address |
---|---|
Russell Jon Watson, CRNA Po Box 2936, Idaho Falls, ID 83403-2936 Ph: (208) 552-8773 | Russell Jon Watson, CRNA 351 Sw 9th St, Ontario, OR 97914-2639 Ph: (541) 881-7000 |
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. Justin R Gibb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments 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 | |
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 |