Timothy Hall, CRNA | |
600 Mt Highway 91 S, Dillon, MT 59725-7379 | |
(406) 683-3000 | |
Not Available |
Full Name | Timothy Hall |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 600 Mt Highway 91 S, Dillon, Montana |
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 |
---|---|---|---|
1902125628 | NPI | - | NPPES |
2036625 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP60469187 (Washington) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 0024168780 (Virginia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optum Care Washington Pllc | 6406752153 | 559 |
Entity Name | Optum Care Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
---|---|
Timothy Hall, CRNA Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Timothy Hall, CRNA 600 Mt Highway 91 S, Dillon, MT 59725-7379 Ph: (406) 683-3000 |
Mr. Neal M Maxfield, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 | |
Dennis B. Hatfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Highway 91 South, Dillon, MT 59725 Phone: 406-683-2323 | |
Kathleen S Maunu, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 Fax: 406-683-3027 | |
Gordon H. Lucas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Highway 91 South, Dillon, MT 59725 Phone: 406-683-3000 | |
Kenny Joe Wallen, D.N.P. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 State Hwy 91 S, Dillon, MT 59725 Phone: 406-683-3000 | |
Mr. Cecil Timothy Jackson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 90 Highway 91 South, C/o Barrett Hospital & Healthcare, Dillon, MT 59725 Phone: 406-683-3000 Fax: 406-683-3011 |