Travis Henderson, CRNA | |
1717 Arlington Ave, Caldwell, ID 83605-4802 | |
(208) 459-4641 | |
Not Available |
Full Name | Travis Henderson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 1717 Arlington Ave, Caldwell, 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 |
---|---|---|---|
1093258386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 41135 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 112038 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Valley Medical Center | Caldwell, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Consulting Partners Idaho Pc | 5092164806 | 15 |
Entity Name | Boise Anesthesia, P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487602298 PECOS PAC ID: 8426960642 Enrollment ID: O20031105000132 |
Entity Name | Anesthesia Consulting Partners Idaho Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568241362 PECOS PAC ID: 5092164806 Enrollment ID: O20231205002846 |
Mailing Address | Practice Location Address |
---|---|
Travis Henderson, CRNA 6452 E Shellbrook Dr, Nampa, ID 83687-4126 Ph: () - | Travis Henderson, CRNA 1717 Arlington Ave, Caldwell, ID 83605-4802 Ph: (208) 459-4641 |
Larry Edgerton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-455-3940 | |
Daniel Bonilla, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-4641 | |
Shad B Westover, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-455-4009 |