| Jody Borg, CRNA | |
|
1215 Tibbals St, Holdrege, NE 68949-1255 | |
| (308) 995-2211 | |
| Not Available |
| Full Name | Jody Borg |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 1215 Tibbals St, Holdrege, Nebraska |
| 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 |
|---|---|---|---|
| 1043238827 | NPI | - | NPPES |
| 38126 | Other | NE | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 100752 (Nebraska) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CR001002 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dunes Surgical Hospital | Dakota dunes, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Siouxland Anesthesiology Ltd | 2668453069 | 25 |
| Entity Name | Siouxland Anesthesiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669496337 PECOS PAC ID: 2668453069 Enrollment ID: O20040529000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Borg, CRNA Po Box 633, Lexington, NE 68850-0633 Ph: (402) 395-1666 | Jody Borg, CRNA 1215 Tibbals St, Holdrege, NE 68949-1255 Ph: (308) 995-2211 |
Gina Hipke, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1215 Tibbals St, Holdrege, NE 68949 Phone: 308-995-2211 | |
Sara Elizabeth Mcquistan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 Tibbals St, Holdrege, NE 68949 Phone: 308-995-2211 | |
Kyla Zehr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 Tibbals St, Holdrege, NE 68949 Phone: 308-995-2211 |