| Jeremy Lee Greenwood, CRNA | |
|
5121 S Cottonwood St, Murray, UT 84107-5701 | |
| (801) 727-2056 | |
| (770) 701-6675 |
| Full Name | Jeremy Lee Greenwood |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 5121 S Cottonwood St, Murray, Utah |
| 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 |
|---|---|---|---|
| 1629390018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA770 (Idaho) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 5544099-4406 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Utah Adult Services | 0941525273 | 1593 |
| 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 |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Lee Greenwood, CRNA Po Box 3570, Salt Lake City, UT 84110-3570 Ph: (801) 727-2056 | Jeremy Lee Greenwood, CRNA 5121 S Cottonwood St, Murray, UT 84107-5701 Ph: (801) 727-2056 |
Mrs. Christine Ernat, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-727-2056 Fax: 770-701-6675 | |
Joshua Richard Felt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 650 E 4500 S Ste 100, Murray, UT 84107 Phone: 801-261-2000 |