| Blake G Purcell, CRNA | |
|
1485 Parkway Dr, Blackfoot, ID 83221-1667 | |
| (208) 785-5100 | |
| Not Available |
| Full Name | Blake G Purcell |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 40 Years |
| Location | 1485 Parkway Dr, Blackfoot, 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 |
|---|---|---|---|
| 1063590107 | NPI | - | NPPES |
| 1063590107 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA52 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Blackfoot Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093826513 PECOS PAC ID: 8224006101 Enrollment ID: O20040918000199 |
| Entity Name | Grove City Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144511452 PECOS PAC ID: 6901084326 Enrollment ID: O20110706000379 |
| Entity Name | Valley View Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073857991 PECOS PAC ID: 5092960138 Enrollment ID: O20130221000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake G Purcell, CRNA Po Box 2193, Idaho Falls, ID 83403-2193 Ph: (208) 552-8762 | Blake G Purcell, CRNA 1485 Parkway Dr, Blackfoot, ID 83221-1667 Ph: (208) 785-5100 |
Mr. Ryan T Sayre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Jed D Hanks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3830 | |
Brandon K Pieper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Grant Gundersen, CNRA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 646 W 300 S, Blackfoot, ID 83221 Phone: 208-760-7529 | |
Henry M Adams, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-5100 | |
Zachary D Morrow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 |