| Jensen Willard, CRNA | |
|
3741 W 12600 S, Riverton, UT 84065-7215 | |
| (801) 285-4000 | |
| Not Available |
| Full Name | Jensen Willard |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 3741 W 12600 S, Riverton, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962087403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 10643479 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverton Hospital | Riverton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Anesthesia Llc | 9032018502 | 256 |
| Entity Name | Mountain West Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Jensen Willard, CRNA 1355 Elk Hollow Rd, North Salt Lake, UT 84054-3378 Ph: () - | Jensen Willard, CRNA 3741 W 12600 S, Riverton, UT 84065-7215 Ph: (801) 285-4000 |
Samantha Blair Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3741 W 12600 S, Riverton, UT 84065 Phone: 801-727-2056 Fax: 770-701-6675 | |
Henna Kealohilani Brown Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3741 W 12600 S, Riverton, UT 84065 Phone: 801-285-4000 | |
Larissa J Bruck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3741 W 12600 S, Riverton, UT 84065 Phone: 801-285-4000 |