| Jacob R Irving, CRNA | |
|
810 Jasmine St, Omak, WA 98841-9578 | |
| (509) 826-1760 | |
| (509) 826-7211 |
| Full Name | Jacob R Irving |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 810 Jasmine St, Omak, Washington |
| 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 |
|---|---|---|---|
| 1376873844 | NPI | - | NPPES |
| 0247069 | Other | WA | L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP60190539 (Washington) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN60190693 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Churchill Community Hospital | Fallon, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterology Consultants Ltd | 0941107478 | 31 |
| Collins Carson City Anesthesia Llc | 5799141016 | 8 |
| Lifelinc Anesthesia Nevada Pc | 8921431800 | 4 |
| Entity Name | Gastroenterology Consultants Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144218512 PECOS PAC ID: 0941107478 Enrollment ID: O20031215000151 |
| Entity Name | Lifelinc Anesthesia Nevada Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851950463 PECOS PAC ID: 8921431800 Enrollment ID: O20191206001221 |
| Entity Name | Carson Tahoe Physician Hospital Organization, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063169829 PECOS PAC ID: 8628465721 Enrollment ID: O20220419002777 |
| Entity Name | Collins Carson City Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285330423 PECOS PAC ID: 5799141016 Enrollment ID: O20230511002066 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob R Irving, CRNA Po Box 793, Omak, WA 98841-0793 Ph: (509) 826-1760 | Jacob R Irving, CRNA 810 Jasmine St, Omak, WA 98841-9578 Ph: (509) 826-1760 |
Mr. John Victor Morgan Cowley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 810 Jasmine St, Omak, WA 98841 Phone: 509-826-1760 Fax: 509-826-7211 | |
Eric Cy Mathison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 Jasmine St, Omak, WA 98841 Phone: 509-826-1760 | |
Laurie Marie Duff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 Jasmine St, Omak, WA 98841 Phone: 509-826-1760 | |
Billie J Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 23 N Birch St, Omak, WA 98841 Phone: 832-421-0176 Fax: 530-229-3703 | |
Daniel Garrison Crosby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 Jasmine St, Omak, WA 98841 Phone: 509-826-1760 Fax: 509-826-7211 | |
Mr. Stephen K Both Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 208 S Main St, Omak, WA 98841 Phone: 325-660-5535 Fax: 325-692-6030 |