| Dr Michael Lucian Dumouchel, DNP, CRNA, NSPM-C | |
|
6 13th Ave E, Polson, MT 59860-5315 | |
| (406) 883-8924 | |
| (406) 883-8405 |
| Full Name | Dr Michael Lucian Dumouchel |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 6 13th Ave E, Polson, Montana |
| 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 |
|---|---|---|---|
| 1982902367 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke Community Hospital | Ronan, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Community Hospital | 5496659567 | 59 |
| Entity Name | Providence St Joseph Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
| Entity Name | St Lukes Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1336213446 PECOS PAC ID: 5496659567 Enrollment ID: O20061104000674 |
| Entity Name | Providence St Joseph Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1821184888 PECOS PAC ID: 0446230247 Enrollment ID: O20061104000680 |
| Entity Name | Montana Gastroenterology, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821612946 PECOS PAC ID: 7618396318 Enrollment ID: O20200930000358 |
| Entity Name | St Lukes Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518663608 PECOS PAC ID: 5496659567 Enrollment ID: O20230315001481 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Lucian Dumouchel, DNP, CRNA, NSPM-C 877 Bayview Dr, Polson, MT 59860-9680 Ph: (760) 415-3809 | Dr Michael Lucian Dumouchel, DNP, CRNA, NSPM-C 6 13th Ave E, Polson, MT 59860-5315 Ph: (406) 883-8924 |
Sheila Reash, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 |
Jennifer Ann Boyer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 |
Ms. Angelia Relph, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 |
Brooke Lund, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5377 |