Thomas Scruggs, CRNA | |
3010 15th Ave S, Great Falls, MT 59405-5240 | |
(406) 216-8000 | |
Not Available |
Full Name | Thomas Scruggs |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3010 15th Ave S, Great Falls, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003847104 | NPI | - | NPPES |
805979900 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | N-30039 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 101158 (Montana) | Primary |
Entity Name | Northern Montana Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427059070 PECOS PAC ID: 2264343912 Enrollment ID: O20031229000278 |
Entity Name | Cmsc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20130502000527 |
Entity Name | Montana Gastroenterology, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821612946 PECOS PAC ID: 7618396318 Enrollment ID: O20200930000358 |
Entity Name | Northstar Anesthesia Of Montana |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265059869 PECOS PAC ID: 5395151294 Enrollment ID: O20210301001196 |
Mailing Address | Practice Location Address |
---|---|
Thomas Scruggs, CRNA Po Box 3882, Idaho Falls, ID 83403-3882 Ph: (208) 525-2090 | Thomas Scruggs, CRNA 3010 15th Ave S, Great Falls, MT 59405-5240 Ph: (406) 216-8000 |
Luke Jarvis Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 29th St S, Great Falls, MT 59405 Phone: 409-454-2171 | |
Richard W Willey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1509 29th St S, Great Falls, MT 59405 Phone: 406-771-3500 Fax: 406-771-3502 | |
Mr. Michael A. Mahler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5000 Fax: 406-731-8318 | |
Jeffrey L. Allen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5000 | |
Gary R Howard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1509 29th St S, Great Falls, MT 59405 Phone: 406-771-3500 Fax: 406-771-3502 | |
Mrs. Robinette Louise Jankiewicz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St. S., Benefis, Great Falls, MT 59405 Phone: 406-731-8755 |