| John C Evans, CRNA | |
|
145 Memorial Dr., Broken Bow, NE 68822 | |
| (308) 870-2111 | |
| Not Available |
| Full Name | John C Evans |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 145 Memorial Dr., Broken Bow, 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 |
|---|---|---|---|
| 1144320144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 100673 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Lanning Healthcare | Hastings, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Mary Lanning Memorial Hospital Association | 4587575550 | 119 |
| Entity Name | Jennie M Melham Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366659773 PECOS PAC ID: 5799766440 Enrollment ID: O20040527000928 |
| Entity Name | Phelps Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871528851 PECOS PAC ID: 9931011947 Enrollment ID: O20080603000111 |
| Entity Name | The Mary Lanning Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356656417 PECOS PAC ID: 4587575550 Enrollment ID: O20101007000817 |
| Entity Name | Beatrice Community Hospital & Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922111855 PECOS PAC ID: 1951208222 Enrollment ID: O20121214000477 |
| Mailing Address | Practice Location Address |
|---|---|
| John C Evans, CRNA 528 Westridge Dr., Broken Bow, NE 68822 Ph: (308) 870-2111 | John C Evans, CRNA 145 Memorial Dr., Broken Bow, NE 68822 Ph: (308) 870-2111 |
Mr. Timothy Bart Johnson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 79568 Sumner Road, Broken Bow, NE 68822 Phone: 308-872-2294 Fax: 308-872-6272 |