| Mr Benjamin Shane Nuti, CRNA | |
|
914 Pine Street, Mount Shasta, CA 96067 | |
| (530) 926-6111 | |
| (530) 926-0245 |
| Full Name | Mr Benjamin Shane Nuti |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 914 Pine Street, Mount Shasta, California |
| 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 |
|---|---|---|---|
| 1447456132 | NPI | - | NPPES |
| 05502 | Other | IA | WELLMARK BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3558 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center Of Mt Shasta | Mount shasta, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parish Anesthesia Of California A Professional Medical Corporation | 0244463925 | 5 |
| Entity Name | Last Frontier Healthcare District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487669032 PECOS PAC ID: 2466447412 Enrollment ID: O20040419000563 |
| Entity Name | Mayers Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912125667 PECOS PAC ID: 6305804196 Enrollment ID: O20041227000593 |
| Entity Name | Parish Anesthesia Of California A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790106862 PECOS PAC ID: 0244463925 Enrollment ID: O20140503000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benjamin Shane Nuti, CRNA 914 Pine Street, Mount Shasta, CA 96067 Ph: (530) 926-6111 | Mr Benjamin Shane Nuti, CRNA 914 Pine Street, Mount Shasta, CA 96067 Ph: (530) 926-6111 |
Philip Zimmerman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 914 Pine St, Mount Shasta, CA 96067 Phone: 612-978-0940 | |
Robert C Brucker, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 914 Pine St, Mount Shasta, CA 96067 Phone: 530-926-6111 Fax: 530-926-0517 | |
Debra Dawn Machain, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 623 Everitt Memorial Hwy, Mount Shasta, CA 96067 Phone: 530-925-2797 | |
Mr. Donald W Morris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1225 Beks Ln, Mount Shasta, CA 96067 Phone: 530-526-3422 |