| Casey Mckay Tanner, | |
|
3580 W 9000 S, West Jordan, UT 84088-8812 | |
| (801) 601-2393 | |
| (801) 601-2258 |
| Full Name | Casey Mckay Tanner |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 3580 W 9000 S, West Jordan, Utah |
| 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 |
|---|---|---|---|
| 1528804770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 10832691-4406 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Idaho Pllc | 6204283856 | 39 |
| Entity Name | Northstar Anesthesia Of Idaho Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912686882 PECOS PAC ID: 6204283856 Enrollment ID: O20231103002037 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Mckay Tanner, 2221 Lakeside Blvd Ste 600, Richardson, TX 75082-4416 Ph: () - | Casey Mckay Tanner, 3580 W 9000 S, West Jordan, UT 84088-8812 Ph: (801) 601-2393 |
James Harned, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-993-9527 | |
Jessica Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Max H Shurtliff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3580 W 9000 S, West Jordan, UT 84070 Phone: 801-993-9527 Fax: 801-733-5872 | |
Brandon Michael Allen, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Brady Carlsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 509-217-0698 |