Tammy L Skidmore, CRNA | |
777 Hospital Way, Pocatello, ID 83201-5175 | |
(208) 239-1000 | |
Not Available |
Full Name | Tammy L Skidmore |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 777 Hospital Way, Pocatello, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427008176 | NPI | - | NPPES |
806817800 | Medicaid | ID | |
145477 | Other | KS | BCBS KS GROUP 110017 |
200429720A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | N27623 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RNA-582 (Idaho) | Primary |
Entity Name | Overton/stiff Professional Anesthesia Service Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417065152 PECOS PAC ID: 6901793975 Enrollment ID: O20040507001312 |
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: O20121213000463 |
Entity Name | T-medica Mobil Anesthesia Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306588355 PECOS PAC ID: 9931588498 Enrollment ID: O20220614001826 |
Mailing Address | Practice Location Address |
---|---|
Tammy L Skidmore, CRNA Po Box 4107, Pocatello, ID 83205-4107 Ph: (208) 232-7760 | Tammy L Skidmore, CRNA 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 239-1000 |
Mr. Timothy Morgan Naylor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 285 Vista Dr, Pocatello, ID 83201 Phone: 208-478-1704 | |
Nicholas Stoddard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 | |
Mark Alan Pendleton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 082-391-0562 Fax: 208-239-3626 | |
Jamie Leigh Cassinat, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-209-1000 | |
Eric Michael Stradley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Richard Aaron Marler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave, Bldg A, Pocatello, ID 83201 Phone: 208-233-8880 Fax: 208-232-1950 | |
Mr. Kenneth Michael Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave Ste A, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 |