| Cory Franklin Briscoe, APRN CRNA MSN | |
|
3648 S Boulder Creek Ln, Ammon, ID 83406-5114 | |
| (208) 201-7088 | |
| Not Available |
| Full Name | Cory Franklin Briscoe |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 3648 S Boulder Creek Ln, Ammon, Idaho |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558710889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9367780 (Idaho) | Primary |
| 207L00000X | Anesthesiology | ARNP9367780 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Goshen Hospital | Goshen, IN | Hospital |
| Navicent Health Baldwin | Milledgeville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marcus Daly Memorial Hospital Corporation | 5597664474 | 97 |
| Iceland Anesthesia Management Llc | 7618372996 | 70 |
| Australia Anesthesia Management Llc | 9436671864 | 57 |
| Greenland Anesthesia Management, Llc | 2668886425 | 21 |
| Entity Name | Sidney Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376617191 PECOS PAC ID: 0749181535 Enrollment ID: O20040115000513 |
| Entity Name | Marcus Daly Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659475846 PECOS PAC ID: 5597664474 Enrollment ID: O20040202001033 |
| Entity Name | Sidney Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285719161 PECOS PAC ID: 0749181535 Enrollment ID: O20061104000419 |
| Entity Name | Marcus Daly Memorial Hospital Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1659475846 PECOS PAC ID: 5597664474 Enrollment ID: O20061104000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Franklin Briscoe, APRN CRNA MSN 3648 S Boulder Creek Ln, Ammon, ID 83406-5114 Ph: (208) 201-7088 | Cory Franklin Briscoe, APRN CRNA MSN 3648 S Boulder Creek Ln, Ammon, ID 83406-5114 Ph: (208) 201-7088 |