| Jared Weishaar, | |
|
501 S Burma Ave, Gillette, WY 82716-3426 | |
| (307) 688-1000 | |
| Not Available |
| Full Name | Jared Weishaar |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 501 S Burma Ave, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295242907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 41019.1705 (Wyoming) | Primary |
| Entity Name | Campbell County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Weishaar, 4311 Quarter Circle Ct, Gillette, WY 82718-2022 Ph: () - | Jared Weishaar, 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 688-1000 |
Dana G Halbrooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Brian E. Austin, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1524 Fax: 307-687-7243 | |
Nancy Rusch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-696-3347 | |
Amanda Raye Zuck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 W Lakeway Rd Ste 3, Gillette, WY 82718 Phone: 307-682-7819 | |
Dallin Lee Bracken, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Rebecca Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 W 3rd St, Gillette, WY 82716 Phone: 307-687-7246 |