| Jon-rene Christopher Suffern, MD | |
|
707 Sheridan Ave, Cody, WY 82414-3409 | |
| (307) 527-7501 | |
| (307) 578-2485 |
| Full Name | Jon-rene Christopher Suffern |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 13 Years |
| Location | 707 Sheridan Ave, Cody, Wyoming |
| 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 |
|---|---|---|---|
| 1487091336 | NPI | - | NPPES |
| 285541 | Medicaid | AZ | |
| 250394800 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 54319 (Arizona) | Secondary |
| 207L00000X | Anesthesiology | 19708A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
| Northwest Medical Center | Tucson, AZ | Hospital |
| Cody Regional Health | Cody, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern Anesthesia Pllc | 4284813940 | 83 |
| West Park Hospital District | 7315855624 | 79 |
| Entity Name | Northwest Hbp Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon-rene Christopher Suffern, MD 707 Sheridan Ave, Cody, WY 82414-3409 Ph: (307) 527-7501 | Jon-rene Christopher Suffern, MD 707 Sheridan Ave, Cody, WY 82414-3409 Ph: (307) 527-7501 |
Catherine C Schmidt, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 732 Lindsay Ln, Cody, WY 82414 Phone: 307-578-1923 Fax: 307-527-3357 | |
Tanya Dawn Schnell, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-587-2139 | |
Bradley Lee Low, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 901 16th St, Cody, WY 82414 Phone: 307-250-6849 Fax: 307-800-3487 | |
Harry B Cohen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 726 Allen Ave Ste B, Cody, WY 82414 Phone: 307-578-1860 Fax: 307-587-2364 | |
Ted J Ajax, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 732 Lindsay Ln, Cody, WY 82414 Phone: 307-587-2139 |