Trevor Lee Drake, CRNA, MHS | |
3100 Channing Way, Idaho Falls, ID 83404-7533 | |
(208) 529-6264 | |
Not Available |
Full Name | Trevor Lee Drake |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 3100 Channing Way, Idaho Falls, 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 |
---|---|---|---|
1760884803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN-38983 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain View Hospital | Idaho falls, ID | Hospital |
Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain View Hospital Llc | 4486562774 | 188 |
Entity Name | Anesthesia Associates Of Boise, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033147467 PECOS PAC ID: 2668385287 Enrollment ID: O20031110000655 |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Entity Name | Intermountain Anesthesia Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558304329 PECOS PAC ID: 5193638781 Enrollment ID: O20040825000367 |
Entity Name | Madison Avenue Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1225488216 PECOS PAC ID: 0244524395 Enrollment ID: O20160811002150 |
Mailing Address | Practice Location Address |
---|---|
Trevor Lee Drake, CRNA, MHS Po Box 1891, Idaho Falls, ID 83403-1891 Ph: () - | Trevor Lee Drake, CRNA, MHS 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6264 |
Reed D Loertscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6285 | |
Mr. David Joseph Swope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2375 E Sunnyside Rd, Suite B, Idaho Falls, ID 83404 Phone: 208-421-1159 | |
Carlene M Canfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 E 17th St, Idaho Falls, ID 83404 Phone: 208-525-2090 Fax: 208-525-2662 | |
Douglas Jex, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269 | |
Mr. Bryan Todd Merkley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-557-2700 | |
Dr. Scott Havard, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 207-745-4081 | |
Brent Michael Sutherland, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2532 Coronado, Idaho Falls, ID 83404 Phone: 208-557-2700 |