| Jason Witzel, CRNA | |
|
107 Corral Way Apt A, Dodge City, KS 67801-7253 | |
| (205) 585-1301 | |
| Not Available |
| Full Name | Jason Witzel |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 107 Corral Way Apt A, Dodge City, Kansas |
| 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 |
|---|---|---|---|
| 1164889317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 43-557387-122 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Hazel Hawkins Memorial Hospital | Hollister, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 54 |
| Central California Anesthesiology Solutions | 7719317213 | 28 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Witzel, CRNA 107 Corral Way Apt A, Dodge City, KS 67801-7253 Ph: (205) 585-1301 | Jason Witzel, CRNA 107 Corral Way Apt A, Dodge City, KS 67801-7253 Ph: (205) 585-1301 |
Dr. Dana Alan Reynolds, EDD, MS, ARNP-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2811 Avenue A, Apt. A, Dodge City, KS 67801 Phone: 620-371-6140 | |
Martha Jane Marples, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 W Ross Blvd, Dodge City, KS 67801 Phone: 620-225-2847 Fax: 620-225-7046 | |
Anthony F Bartello, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 W Ross Blvd, Dodge City, KS 67801 Phone: 620-225-2847 Fax: 620-225-7046 | |
Mrs. Jacquelyn Edith Rockman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Cherry St, Dodge City, KS 67801 Phone: 334-549-2903 | |
Kristopher Costello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3001 Avenue A, Dodge City, KS 67801 Phone: 620-225-8400 | |
Terry A Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W Ross Blvd, Dodge City, KS 67801 Phone: 620-225-2847 Fax: 620-225-7046 |