Thomas Lamar Mouritsen, | |
118 E Haskell St, Winnemucca, NV 89445-3247 | |
(775) 623-5222 | |
Not Available |
Full Name | Thomas Lamar Mouritsen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 118 E Haskell St, Winnemucca, Nevada |
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 |
---|---|---|---|
1811537012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 826747 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grande Ronde Hospital | La grande, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grande Ronde Hospital Inc | 0547170789 | 69 |
Entity Name | Grande Ronde Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
Entity Name | Harney District Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20040528000077 |
Entity Name | Grande Ronde Hospital Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
Mailing Address | Practice Location Address |
---|---|
Thomas Lamar Mouritsen, 430 E 4th Street 16a, Winnemucca, NV 89445 Ph: () - | Thomas Lamar Mouritsen, 118 E Haskell St, Winnemucca, NV 89445-3247 Ph: (775) 623-5222 |
Carole Cain, RN, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 118 E Haskell St, Winnemucca, NV 89445 Phone: 775-623-5222 Fax: 775-623-5904 | |
Rufus Edwin Mohr, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 118 East Haskell St, Winnemucca, NV 89445 Phone: 775-623-5222 Fax: 775-625-8590 |