| Dustin Lee Peaytt, RN, BSN, DMPNA | |
|
280 Pattonsville Rd, Jackson, OH 45640-9452 | |
| (855) 446-5937 | |
| Not Available |
| Full Name | Dustin Lee Peaytt |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 280 Pattonsville Rd, Jackson, Ohio |
| 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 |
|---|---|---|---|
| 1609303437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.437658 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRNCRNA019528 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Anesthesia Of Ohio Llc | 3779714258 | 111 |
| Holzer Clinic Llc | 5890606008 | 264 |
| Entity Name | Holzer Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Entity Name | Premier Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699196022 PECOS PAC ID: 3779714258 Enrollment ID: O20140326001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Lee Peaytt, RN, BSN, DMPNA 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 441-1949 | Dustin Lee Peaytt, RN, BSN, DMPNA 280 Pattonsville Rd, Jackson, OH 45640-9452 Ph: (855) 446-5937 |
David B Grimm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Burlington Rd, Jackson, OH 45640 Phone: 855-446-5937 Fax: 740-395-8519 | |
Randy Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 Pattonsville Rd, Jackson, OH 45640 Phone: 740-446-5000 | |
Sandra Lee Troester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 Pattonsville Rd, Jackson, OH 45640 Phone: 855-446-5937 Fax: 740-395-8834 |