| Dallin Lee Bracken, CRNA | |
|
501 S Burma Ave, Gillette, WY 82716-3426 | |
| (307) 688-1000 | |
| Not Available |
| Full Name | Dallin Lee Bracken |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 501 S Burma Ave, Gillette, Wyoming |
| 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 |
|---|---|---|---|
| 1336465798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28057.1046 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Churchill Community Hospital | Fallon, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterology Consultants Ltd | 0941107478 | 31 |
| Collins Carson City Anesthesia Llc | 5799141016 | 8 |
| Lifelinc Anesthesia Nevada Pc | 8921431800 | 4 |
| Entity Name | William Bee Ririe Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487648804 PECOS PAC ID: 9335051747 Enrollment ID: O20031104000372 |
| Entity Name | Gastroenterology Consultants Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144218512 PECOS PAC ID: 0941107478 Enrollment ID: O20031215000151 |
| Entity Name | Lifelinc Anesthesia Nevada Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851950463 PECOS PAC ID: 8921431800 Enrollment ID: O20191206001221 |
| Entity Name | Collins Carson City Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285330423 PECOS PAC ID: 5799141016 Enrollment ID: O20230511002066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dallin Lee Bracken, CRNA 2001 W Lakeway Rd, Gillette, WY 82718-5773 Ph: (307) 689-9772 | Dallin Lee Bracken, CRNA 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 688-1000 |
Dana G Halbrooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Brian E. Austin, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1524 Fax: 307-687-7243 | |
Nancy Rusch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-696-3347 | |
Amanda Raye Zuck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 W Lakeway Rd Ste 3, Gillette, WY 82718 Phone: 307-682-7819 | |
Jared Weishaar, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Rebecca Edwards, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1301 W 3rd St, Gillette, WY 82716 Phone: 307-687-7246 |