| Jared Weishaar, | |
|
501 S Burma Ave, Gillette, WY 82716-3426 | |
| (307) 688-1000 | |
| Not Available |
| Full Name | Jared Weishaar |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 501 S Burma Ave, Gillette, Wyoming |
| 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 |
|---|---|---|---|
| 1295242907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 41019.1705 (Wyoming) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Logan Health - Shelby | 6608285192 | 14 |
| Entity Name | Northern Rockies Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831143080 PECOS PAC ID: 0345234506 Enrollment ID: O20040510001072 |
| Entity Name | Logan Health - Shelby |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497742415 PECOS PAC ID: 6608285192 Enrollment ID: O20210629003620 |
| Entity Name | Logan Health - Shelby |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497742415 PECOS PAC ID: 6608285192 Enrollment ID: O20220624001997 |
| 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: Medicare Enrolled Practice Location: 1301 W 3rd St, Gillette, WY 82716 Phone: 307-687-7246 |