| Grant Backman, | |
|
5200 Fairview Blvd, Wyoming, MN 55092-8013 | |
| (651) 464-4611 | |
| (651) 464-7627 |
| Full Name | Grant Backman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 5200 Fairview Blvd, Wyoming, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093384984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2725 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Lakes Health Services | Wyoming, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Metro Anesthesia Services Pa | 0648244152 | 14 |
| Entity Name | North Metro Anesthesia Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457339780 PECOS PAC ID: 0648244152 Enrollment ID: O20040820001013 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Backman, 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 464-4611 | Grant Backman, 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 464-4611 |
John R Gilbert, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 Fax: 651-464-7627 | |
Heidi Lynn Ruzek, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Kent N Yoshida, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 Fax: 651-464-7627 | |
Trevor Ryan Goldsmith, DNP Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 | |
Leon W Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 Fax: 651-464-7627 | |
Annetta M Atchison, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 Fax: 651-464-7627 |