| Albert William Merritt, CRNA | |
|
301 Cedar St, Orofino, ID 83544-9029 | |
| (208) 476-5777 | |
| (208) 476-5385 |
| Full Name | Albert William Merritt |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 36 Years |
| Location | 301 Cedar St, Orofino, 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 |
|---|---|---|---|
| 1609992783 | NPI | - | NPPES |
| 805843500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA457 (Idaho) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RNA457A (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | Clearwater Valley Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
| Entity Name | St Joseph Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790816262 PECOS PAC ID: 2961497235 Enrollment ID: O20041220001093 |
| Entity Name | St. Mary's Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20050316000814 |
| Entity Name | Clearwater Valley Hospital & Clinics Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255449013 PECOS PAC ID: 0547173346 Enrollment ID: O20061104000428 |
| Entity Name | St Joseph Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20190702000908 |
| Entity Name | Intermountain Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609413343 PECOS PAC ID: 2264868389 Enrollment ID: O20200210002334 |
| Mailing Address | Practice Location Address |
|---|---|
| Albert William Merritt, CRNA 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 | Albert William Merritt, CRNA 301 Cedar St, Orofino, ID 83544-9029 Ph: (208) 476-5777 |
Mrs. Julia Lienesch, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-5777 Fax: 208-476-5385 | |
Mrs. Wendi Rene Boyer, CRNA MNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-8030 Fax: 208-476-5385 | |
David Michael Rees, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-5777 Fax: 208-476-5385 | |
Trent Matthew Morgan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-5777 Fax: 208-476-5385 |