| Jay H Gassman, CRNA | |
|
300 N Hospital Dr, Price, UT 84501-4218 | |
| (800) 748-4868 | |
| (801) 733-5872 |
| Full Name | Jay H Gassman |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 300 N Hospital Dr, Price, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720193956 | NPI | - | NPPES |
| 2000575 | Other | UT | UNITED HEALTHCARE |
| PRA02133 | Other | UT | MOLINA |
| 7561 | Other | UT | HEALTHY U |
| 107008681104 | Other | UT | IHC |
| QM0000076612 | Other | UT | ALTIUS |
| 76565 | Other | UT | PEHP |
| 343841 | Other | UT | DESERET MUTUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 199347-4406 (Utah) | Primary |
| Entity Name | Pinnacle Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144313669 PECOS PAC ID: 0648175455 Enrollment ID: O20031204000864 |
| Entity Name | Central Utah Anesthesia Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578765533 PECOS PAC ID: 0547160152 Enrollment ID: O20040112000016 |
| Entity Name | Ashley Valley Physician Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740482025 PECOS PAC ID: 4284683947 Enrollment ID: O20050119001166 |
| Entity Name | Riverwoods Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821290883 PECOS PAC ID: 0547217366 Enrollment ID: O20050405000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay H Gassman, CRNA 422 Canyon View Dr, Pleasant Grove, UT 84062-4571 Ph: (801) 796-3546 | Jay H Gassman, CRNA 300 N Hospital Dr, Price, UT 84501-4218 Ph: (800) 748-4868 |
Lawrence C Van Atta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 N Hospital Dr, Price, UT 84501 Phone: 800-748-4868 Fax: 801-733-5872 | |
Scott Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 N Hospital Dr, Price, UT 84501 Phone: 801-310-8458 | |
Joshua S Vincent, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 N Hospital Dr, Price, UT 84501 Phone: 435-637-4800 | |
Mr. Bryce Robert Dougal, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 N Hospital Dr, Price, UT 84501 Phone: 435-637-4800 |