| John R Killpack, CRNA | |
|
1303 N Main St, Cedar City, UT 84720-9746 | |
| (801) 993-9501 | |
| (801) 733-5618 |
| Full Name | John R Killpack |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 1303 N Main St, Cedar City, Utah |
| 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 |
|---|---|---|---|
| 1275647489 | NPI | - | NPPES |
| 597854 | Other | UT | HEALTHY U |
| 2000630 | Other | UT | UNITED HEALTHCARE |
| 851396 | Other | UT | DESERET MUTUAL |
| 943284 | Medicaid | AZ | |
| TPRA09124 | Other | UT | MOLINA |
| 107026813102 | Other | UT | IHC |
| 79799 | Other | UT | PEHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 201807-4406 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedar City Hospital | Cedar city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedar Anesthesia Group Llp | 0345240966 | 9 |
| Entity Name | Cedar Anesthesia Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821176132 PECOS PAC ID: 0345240966 Enrollment ID: O20070203000175 |
| Entity Name | Amsurg St George Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730452814 PECOS PAC ID: 0749442523 Enrollment ID: O20120425000140 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Killpack, CRNA 2174 N Cliffrose Cir, Cedar City, UT 84720-7765 Ph: (435) 531-6668 | John R Killpack, CRNA 1303 N Main St, Cedar City, UT 84720-9746 Ph: (801) 993-9501 |
William Michael Dancer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1303 N Main St, Cedar City, UT 84720 Phone: 801-993-9501 Fax: 801-733-5872 | |
Steven T Heelis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1303 N Main St, Cedar City, UT 84720 Phone: 801-993-9501 Fax: 801-733-5872 | |
Mr. Robert Eugene Wise, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 195 E Fiddlers Canyon Rd, Unit 14, Cedar City, UT 84720 Phone: 435-559-3136 | |
Shawn F Kinross, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1303 N Main St, Cedar City, UT 84720 Phone: 801-993-9501 Fax: 801-733-5872 | |
Wayne Lewis Stubbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1303 N Main St, Cedar City, UT 84720 Phone: 801-993-9501 Fax: 801-733-5872 |