| Jeffery R Schultz, CRNA | |
|
202 Prospect Dr, Glendive, MT 59330-1943 | |
| (406) 345-3345 | |
| (406) 345-3347 |
| Full Name | Jeffery R Schultz |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 202 Prospect Dr, Glendive, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255650610 | NPI | - | NPPES |
| 1255650610 | Other | CHAMPUS (TRICARE - SOUTH REGION) | |
| 0025769 00 | Medicaid | FL | |
| G00FP | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ANT9242362 (Florida) | Primary |
| Entity Name | Glendive Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033129622 PECOS PAC ID: 7214846823 Enrollment ID: O20031103000338 |
| Entity Name | Montana Gastroenterology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821612946 PECOS PAC ID: 7618396318 Enrollment ID: O20200930000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery R Schultz, CRNA 202 Prospect Dr, Glendive, MT 59330-1943 Ph: (406) 345-3345 | Jeffery R Schultz, CRNA 202 Prospect Dr, Glendive, MT 59330-1943 Ph: (406) 345-3345 |
Mr. Joseph C Chamberlain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 202 Prospect Dr, Glendive, MT 59330 Phone: 406-345-3306 | |
Shawn Patrick Regan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 202 Prospect Dr, Glendive, MT 59330 Phone: 406-345-3306 | |
Sally Reichert, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 202 Prospect Dr, Glendive, MT 59330 Phone: 406-345-3306 Fax: 406-345-3358 | |
Travis C Blackhurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 202 Prospect Dr, Glendive, MT 59330 Phone: 406-345-3306 |