| Jason D Brotherson, A,PRN | |
|
1009 W 1560 S, Provo, UT 84601-5559 | |
| (801) 374-9100 | |
| Not Available |
| Full Name | Jason D Brotherson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 1009 W 1560 S, Provo, Utah |
| 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 |
|---|---|---|---|
| 1205905742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SM0705X | Clinical Nurse Specialist - Medical-surgical | 308861-4405 (Utah) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 308861-4406 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Timpanogos Regional Hospital | Orem, UT | Hospital |
| Mountain View Hospital | Payson, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Anesthesia Lc | 5991604829 | 25 |
| Entity Name | Mountain View Anesthesia Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043249840 PECOS PAC ID: 5991604829 Enrollment ID: O20040108000626 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason D Brotherson, A,PRN 1009 W 1560 S, Provo, UT 84601-5559 Ph: (801) 360-4630 | Jason D Brotherson, A,PRN 1009 W 1560 S, Provo, UT 84601-5559 Ph: (801) 374-9100 |
Sarah Ward Barnaby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-727-2056 Fax: 770-701-6675 | |
Rodney L Fisher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 320 River Park Dr Ste 125, Provo, UT 84604 Phone: 801-375-8049 Fax: 801-374-9195 | |
Chase Bazil, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 N State St Ste 105, Provo, UT 84604 Phone: 801-655-5245 | |
Shelby Lyn Beck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1067 N 500 W, Provo, UT 84604 Phone: 801-374-0354 | |
Joyce Westphal, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 585 N 500 W, Provo, UT 84601 Phone: 801-375-0983 Fax: 801-375-0988 | |
Dirk Bradley Bahoravitch, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1067 N 500 W, Provo, UT 84604 Phone: 801-374-0354 | |
Jared W Ollerton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 320 River Park Dr Ste 125, Provo, UT 84604 Phone: 801-375-8049 Fax: 801-374-9195 |