| Brenda L Hatch, CRNA | |
|
98 Poplar St, Blackfoot, ID 83221-1758 | |
| (208) 785-4100 | |
| Not Available |
| Full Name | Brenda L Hatch |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 98 Poplar St, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740362797 | NPI | - | NPPES |
| P00166423 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA534 (Idaho) | Primary |
| 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 | Madison Avenue Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1225488216 PECOS PAC ID: 0244524395 Enrollment ID: O20160811002150 |
| Entity Name | Highline Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134630320 PECOS PAC ID: 4981963162 Enrollment ID: O20180116000630 |
| Entity Name | Alpine Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679302137 PECOS PAC ID: 1153862362 Enrollment ID: O20240916000716 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda L Hatch, CRNA Po Box 829, Blackfoot, ID 83221-0829 Ph: (208) 523-4906 | Brenda L Hatch, CRNA 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-4100 |
Blake G Purcell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221 Phone: 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 |