Kyle James Carlson, DNP, CRNA | |
700 S Main St, Moscow, ID 83843-3046 | |
(208) 228-4511 | |
(208) 883-6571 |
Full Name | Kyle James Carlson |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 700 S Main St, Moscow, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275312357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 77673 (Idaho) | Primary |
Entity Name | Panhandle Anesthesia Associates Of Moscow |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720687031 PECOS PAC ID: 1153734736 Enrollment ID: O20201229001997 |
Mailing Address | Practice Location Address |
---|---|
Kyle James Carlson, DNP, CRNA Po Box 9911, Moscow, ID 83843-0200 Ph: (208) 746-7555 | Kyle James Carlson, DNP, CRNA 700 S Main St, Moscow, ID 83843-3046 Ph: (208) 228-4511 |
John Anthony Schirmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 804 S Washington St Ste A, Moscow, ID 83843 Phone: 208-883-6700 | |
Hannah Bancroft, CRNA DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6571 | |
Rand N. Bracken, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Lorraine Windridge Granfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2709 Robinson Park Rd, Moscow, ID 83843 Phone: 772-285-3457 | |
Dustin Paul Gill, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 804 S Washington St Ste A, Moscow, ID 83843 Phone: 208-883-6700 | |
Steven C Reitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-883-4511 Fax: 208-883-6571 |