Jessica Johnson, CRNA | |
3580 W 9000 S, West Jordan, UT 84088-8812 | |
(801) 561-8888 | |
Not Available |
Full Name | Jessica Johnson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 3580 W 9000 S, West Jordan, 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 |
---|---|---|---|
1770094666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 66680743102 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain West Anesthesia Llc | 9032018502 | 248 |
Nph Anesthesia Of Utah Llc | 9537584313 | 96 |
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 |
Entity Name | Nph Anesthesia Of Utah Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
Mailing Address | Practice Location Address |
---|---|
Jessica Johnson, CRNA 2221 Lakeside Blvd Ste 600, Richardson, TX 75082-4416 Ph: (469) 505-1634 | Jessica Johnson, CRNA 3580 W 9000 S, West Jordan, UT 84088-8812 Ph: (801) 561-8888 |
James Harned, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-993-9527 | |
Max H Shurtliff, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3580 W 9000 S, West Jordan, UT 84070 Phone: 801-993-9527 Fax: 801-733-5872 | |
Brandon Michael Allen, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Brady Carlsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 509-217-0698 |