| Daniel Roush, CRNA | |
|
450 Williams Way, Moab, UT 84532-2065 | |
| (435) 719-3508 | |
| (435) 719-3509 |
| Full Name | Daniel Roush |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 450 Williams Way, Moab, 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 |
|---|---|---|---|
| 1851577118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 184123 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moab Valley Healthcare, Inc. | 2466361720 | 18 |
| Entity Name | Moab Valley Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20040114000346 |
| Entity Name | San Juan County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659315877 PECOS PAC ID: 4486541851 Enrollment ID: O20040301000938 |
| Entity Name | Moab Valley Healthcare, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20061104000120 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Roush, CRNA Po Box 998, Moab, UT 84532-0998 Ph: (435) 719-3508 | Daniel Roush, CRNA 450 Williams Way, Moab, UT 84532-2065 Ph: (435) 719-3508 |
Mr. Laird Ian Clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3510 |
Kay Osteen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 719 W 400 N, Moab, UT 84532 Phone: 435-259-7191 |