Shawn A Wren, CRNA | |
98 Poplar St, Blackfoot, ID 83221 | |
(208) 785-4100 | |
Not Available |
Full Name | Shawn A Wren |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 98 Poplar St, Blackfoot, Idaho |
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 |
---|---|---|---|
1922530062 | NPI | - | NPPES |
1922530062 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CRNA-01479 (New Mexico) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 59106 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bingham Memorial Hospital | Blackfoot, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Idaho Anesthesia Associates Pc | 5890957716 | 9 |
Entity Name | East Idaho Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750651782 PECOS PAC ID: 5890957716 Enrollment ID: O20120509000720 |
Mailing Address | Practice Location Address |
---|---|
Shawn A Wren, CRNA Po Box 1627, Idaho Falls, ID 83403-1627 Ph: (208) 552-8778 | Shawn A Wren, CRNA 98 Poplar St, Blackfoot, ID 83221 Ph: (208) 785-4100 |
Blake G Purcell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-5100 | |
Mr. Ryan T Sayre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Jed D Hanks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3830 | |
Brandon K Pieper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Grant Gundersen, CNRA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 646 W 300 S, Blackfoot, ID 83221 Phone: 208-760-7529 | |
Henry M Adams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-5100 | |
Zachary D Morrow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 |