| Jaxon Dean Anderson, CRNA | |
|
2325 Coronado St, Idaho Falls, ID 83404-7407 | |
| (208) 557-2700 | |
| Not Available |
| Full Name | Jaxon Dean Anderson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 2325 Coronado St, Idaho Falls, Idaho |
| 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 |
|---|---|---|---|
| 1043568892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | N-36657 (Idaho) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 847A (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Entity Name | Boise Anesthesia, P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487602298 PECOS PAC ID: 8426960642 Enrollment ID: O20031105000132 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Ambulatory Surgery Center Of Burley, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1992706840 PECOS PAC ID: 7517006596 Enrollment ID: O20091204000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaxon Dean Anderson, CRNA Po Box 4268, Portland, OR 97208-4268 Ph: (503) 372-2740 | Jaxon Dean Anderson, CRNA 2325 Coronado St, Idaho Falls, ID 83404-7407 Ph: (208) 557-2700 |
Reed D Loertscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6285 | |
Mr. David Joseph Swope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2290 Coronado St, Idaho Falls, ID 83404 Phone: 208-421-1159 | |
Jason Cole Semchak, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Carlene M Canfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 E 17th St, Idaho Falls, ID 83404 Phone: 208-525-2090 Fax: 208-525-2662 | |
Douglas Jex, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269 | |
Mr. Bryan Todd Merkley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-557-2700 | |
Dr. Scott Havard, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 207-745-4081 |