| Jon C Valentine, CRNA | |
|
1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 | |
| (870) 535-7457 | |
| (870) 535-2522 |
| Full Name | Jon C Valentine |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1801 W 40th Ave, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306841358 | NPI | - | NPPES |
| 5T930 | Other | AR | BCBS |
| 1346147001 | Medicaid | AR | |
| 430042624 | Other | RRMCR/PGBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C01118 (Arkansas) | Primary |
| Entity Name | Physicians Day Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1588603351 PECOS PAC ID: 0143129254 Enrollment ID: O20040107000965 |
| Entity Name | Physicians Day Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1023057916 PECOS PAC ID: 0143129254 Enrollment ID: O20080929000775 |
| Entity Name | Battle Street Surgery Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1457077174 PECOS PAC ID: 2860862349 Enrollment ID: O20221227000914 |
| Entity Name | Mcfarland Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689378325 PECOS PAC ID: 1557708153 Enrollment ID: O20240319000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon C Valentine, CRNA Po Box 1272, Pine Bluff, AR 71613-1272 Ph: (870) 535-7457 | Jon C Valentine, CRNA 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 Ph: (870) 535-7457 |
Gary W Manly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jonathan M Loetscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jason Bobo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3302 Shamrock Dr, Pine Bluff, AR 71603 Phone: 870-489-4864 | |
Kolton Layne Hooks, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-7100 | |
Walter P Theriot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
James C Rassier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 |