| Jeffrey Tevin Hen, CRNA | |
|
4009 Kenny Dr, Stockton, CA 95212-3458 | |
| (209) 616-2310 | |
| Not Available |
| Full Name | Jeffrey Tevin Hen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 4009 Kenny Dr, Stockton, California |
| 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 |
|---|---|---|---|
| 1972173185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 95159147 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95002301 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Medical Center | Modesto, CA | Hospital |
| Emanuel Medical Center | Turlock, CA | Hospital |
| Dameron Hospital | Stockton, CA | Hospital |
| Doctors Hospital Of Manteca | Manteca, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Regional Anesthesia Associates Inc | 3870964323 | 143 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1457593980 PECOS PAC ID: 9830094515 Enrollment ID: O20090916000833 |
| Entity Name | Anesthesia Services of San Joaquin PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1972877264 PECOS PAC ID: 9830094515 Enrollment ID: O20130222000306 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1467825844 PECOS PAC ID: 9830094515 Enrollment ID: O20160223001845 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346615150 PECOS PAC ID: 9830094515 Enrollment ID: O20160311000780 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
| Entity Name | Green Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457039331 PECOS PAC ID: 6103270566 Enrollment ID: O20231004000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Tevin Hen, CRNA 4009 Kenny Dr, Stockton, CA 95212-3458 Ph: (209) 616-2310 | Jeffrey Tevin Hen, CRNA 4009 Kenny Dr, Stockton, CA 95212-3458 Ph: (209) 616-2310 |
Grant David Kephart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St. Joseph's Medical Center, 1800 N. California St., Stockton, CA 95204 Phone: 209-943-2000 |
Dr. Dorothy Wanjeru Mbondo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-662-4749 |
Khang Do, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-416-6316 |
Marjorie M Danis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1805 N California St, Suite 101a, Stockton, CA 95204 Phone: 209-948-5515 Fax: 209-948-9321 |
Charles Melvin Banks Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000 |
Navjot Sanghera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000 |
Brendan Johnson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 414-305-0988 |