Jerry R Town, CRNA is a
Nurse Anesthetist, Certified Registered based in Bismarck, North Carolina. Jerry R Town is licensed to practice in North Dakota (license number R20847) and his current practice location is
900 E Broadway Avenue, Bismarck, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(701) 530-7000.
NPI number for Jerry R Town is 1841343191 and his current mailing address is 900 E Broadway Avenue, P.o. Box 5510, Bismarck, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841343191.
Provider's Profile
| Full Name | Jerry R Town |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 900 E Broadway Avenue, Bismarck, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841343191
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jerry R Town such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841343191 | NPI | - | NPPES |
| 12484 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R20847 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry R Town is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jerry R Town, CRNA
900 E Broadway Avenue, P.o. Box 5510,
Bismarck, NC 58506-5510
Ph: (701) 530-7000 | Jerry R Town, CRNA
900 E Broadway Avenue,
Bismarck, NC 58501
Ph: (701) 530-7000 |
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