| Jeremy Shane Bison, CRNA | |
|
2430 W Pierce St, Carlsbad, NM 88220-3553 | |
| (318) 934-2242 | |
| Not Available |
| Full Name | Jeremy Shane Bison |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 2430 W Pierce St, Carlsbad, New Mexico |
| 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 |
|---|---|---|---|
| 1194079806 | NPI | - | NPPES |
| 78584051 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA-01281 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lubbock Heart Hospital Lp | Lubbock, TX | Hospital |
| Lea Regional Medical Center | Hobbs, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of New Mexico Llc | 0648700666 | 6 |
| Northstar Anesthesia Pa | 7315907128 | 202 |
| Entity Name | Main Street Anesthesia Of New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20241220003912 |
| Entity Name | Northstar Anesthesia Of New Mexico Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710797949 PECOS PAC ID: 0648700666 Enrollment ID: O20250206000599 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Shane Bison, CRNA Po Box 1547, Sedalia, MO 65302-1547 Ph: (660) 826-5960 | Jeremy Shane Bison, CRNA 2430 W Pierce St, Carlsbad, NM 88220-3553 Ph: (318) 934-2242 |
Cameron Scott Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 W Pierce St, Carlsbad, NM 88220 Phone: 575-887-4100 | |
Diana P Levy, MSN, MBA, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 Phone: 575-887-4100 Fax: 575-887-4531 | |
Mr. Rene Salinas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 W Pierce St, Carlsbad, NM 88220 Phone: 575-887-4190 | |
Jonathan Wayne Barnett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 W Pierce St, Carlsbad, NM 88220 Phone: 575-887-4100 | |
Alfonso Jimenez Haro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 W Pierce St, Carlsbad, NM 88220 Phone: 575-887-4100 | |
Mr. Michael John Smith, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 316 S James St, Carlsbad, NM 88220 Phone: 217-249-4063 Fax: 575-887-7626 |