| Jefferson Reynolds, DNAP, CRNA | |
|
750 E 34th St, Hibbing, MN 55746-2341 | |
| (218) 262-4881 | |
| Not Available |
| Full Name | Jefferson Reynolds |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 750 E 34th St, Hibbing, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417386483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024171445 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R 229934-3 (Minnesota) | Primary |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Community Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Reynolds, DNAP, CRNA 750 E 34th St, Hibbing, MN 55746-2341 Ph: () - | Jefferson Reynolds, DNAP, CRNA 750 E 34th St, Hibbing, MN 55746-2341 Ph: (218) 262-4881 |
Michael James Patregnani, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-262-4881 Fax: 218-362-6989 | |
Michael Joseph Maras, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-262-4881 Fax: 218-362-6989 | |
John Dale Stoneburner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-262-4881 Fax: 218-362-6989 | |
Paula Renee Lundell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-362-6811 | |
Michael George Kniffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-969-9683 | |
Brandon Peter Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-262-4881 |