| Dustin Paul Gill, | |
|
804 S Washington St Ste A, Moscow, ID 83843-3182 | |
| (208) 883-6700 | |
| Not Available |
| Full Name | Dustin Paul Gill |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 804 S Washington St Ste A, Moscow, Idaho |
| 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 |
|---|---|---|---|
| 1558681502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 56753 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gritman Medical Center | Moscow, ID | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Panhandle Anesthesia Associates Of Moscow | 1153734736 | 7 |
| Gritman Medical Center Inc | 4981984390 | 15 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
| Entity Name | Inland Northwest Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467797449 PECOS PAC ID: 0648415547 Enrollment ID: O20130325000551 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477004828 PECOS PAC ID: 4981984390 Enrollment ID: O20161130002249 |
| Entity Name | Panhandle Anesthesia Associates Of Moscow |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720687031 PECOS PAC ID: 1153734736 Enrollment ID: O20201229001997 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Paul Gill, Po Box 8007, Moscow, ID 83843-0507 Ph: (208) 883-2224 | Dustin Paul Gill, 804 S Washington St Ste A, Moscow, ID 83843-3182 Ph: (208) 883-6700 |
Adrianne Marie Fejes, DNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6571 | |
Gregory Bauer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-746-7555 Fax: 208-746-7556 | |
Rand N. Bracken, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Lorraine Windridge Granfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2709 Robinson Park Rd, Moscow, ID 83843 Phone: 772-285-3457 | |
Steven C Reitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-883-4511 Fax: 208-883-6571 |