| Dr Brandon Jay Edmondson, DNAP, CRNA | |
|
250 Hospital Pl, Soldotna, AK 99669-7559 | |
| (907) 714-4404 | |
| Not Available |
| Full Name | Dr Brandon Jay Edmondson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 250 Hospital Pl, Soldotna, 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 |
|---|---|---|---|
| 1144008384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 256117 (Alaska) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 233514 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renew Medical Group Of Arkansas Ltd | 3173056298 | 129 |
| Entity Name | Youngs Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20200218000624 |
| Entity Name | Renew Medical Group of Arkansas Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215755947 PECOS PAC ID: 3173056298 Enrollment ID: O20241029000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon Jay Edmondson, DNAP, CRNA 701 South St Ste 100, Mountain Home, AR 72653-4452 Ph: (801) 500-2475 | Dr Brandon Jay Edmondson, DNAP, CRNA 250 Hospital Pl, Soldotna, AK 99669-7559 Ph: (907) 714-4404 |
Theresa Chihuly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4404 |
Leslie Erin Bonnet, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4529 Fax: 907-714-4696 |
Amanda Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4404 Fax: 907-262-2745 |
Mrs. Sarah Holly Godsey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4404 |
Brian Uhlir, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4529 Fax: 907-714-4529 |
Rachel P Neuendorf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4502 Fax: 907-714-4696 |
Brandi Lee Peck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4404 |