Shaun Evans, CRNA | |
1000 E 100 N, Payson, UT 84651-1600 | |
(800) 748-4868 | |
(801) 733-5872 |
Full Name | Shaun Evans |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1000 E 100 N, Payson, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649292897 | NPI | - | NPPES |
107027461102 | Other | UT | IHC |
23201 | Other | UT | HEALTHY U |
8053049 | Medicaid | NC | |
190382600 | Other | UT | US DEPT OF LABOR |
8401401924SHE | Other | UT | EDUCATORS MUTUAL |
QM0000073445 | Other | UT | ALTIUS |
QM0000076595 | Other | UT | ALTIUS |
107027461101 | Other | UT | IHC |
820936 | Other | UT | DESERET MUTUAL |
270041325SSE | Other | UT | EDUCATORS MUTUAL |
QM0000076612 | Other | UT | ALTIUS |
TPRA08324 | Other | UT | MOLINA |
841401924 | Other | UT | PHCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 201863-4406 (Utah) | Primary |
Entity Name | Central Utah Anesthesia Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578765533 PECOS PAC ID: 0547160152 Enrollment ID: O20040112000016 |
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 |
---|---|
Shaun Evans, CRNA 926 Arrowhead Trail Rd, Spanish Fork, UT 84660-9240 Ph: (801) 794-9937 | Shaun Evans, CRNA 1000 E 100 N, Payson, UT 84651-1600 Ph: (800) 748-4868 |
Cherie Carpenter Bate, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 801-857-8841 | |
Kurt L Christensen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 800-748-4868 Fax: 801-733-5872 | |
Jared K Robinson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 800-748-4868 Fax: 801-733-5872 | |
Evan B Theobald, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 800-748-4868 Fax: 801-733-5872 | |
Kenneth A Money, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 800-748-4868 Fax: 801-733-5872 | |
Todd James Hartley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 S 500 W, Payson, UT 84651 Phone: 801-372-4523 |