| Mr David L Johnson, CRNA | |
|
673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | |
| (907) 580-1815 | |
| Not Available |
| Full Name | Mr David L Johnson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 673 Mdg, Jber, Alaska |
| 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 |
|---|---|---|---|
| 1346211166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9245841 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Dynamics Llc | 3779832530 | 883 |
| Entity Name | Jax Anesthesia Providers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245271154 PECOS PAC ID: 5698783702 Enrollment ID: O20060331000288 |
| Entity Name | Anesthesia Dynamics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David L Johnson, CRNA 340 Boatner Rd, Eglin Afb, FL 32542-1391 Ph: (850) 883-9658 | Mr David L Johnson, CRNA 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Ph: (907) 580-1815 |
Nathalie Del Castillo, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-2602 |
Christopher Cowley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, 673 Mdg, Jber, AK 99506 Phone: 907-580-1815 |
Raquel Maria Serrano, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-1825 |
Mrs. Sarah Siacunco, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 909-703-9561 |
Darrell Wayne Saylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave., Jber Hospital 673rd Medical Group, Jber, AK 99506 Phone: 907-580-1815 |
Carolyn N Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-1815 |
Marlene M.b. Wallace, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, 673rd Medical Group/sghq Dod-va Joint Venture Hospital, Jber, AK 99506 Phone: 907-580-1035 Fax: 907-580-3203 |