| Jonathan B Anderson, CRNA | |
|
824 N 11th St, Montevideo, MN 56265-1629 | |
| (320) 269-8878 | |
| (952) 442-3620 |
| Full Name | Jonathan B Anderson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 824 N 11th St, Montevideo, Minnesota |
| 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 |
|---|---|---|---|
| 1548526254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 206977-7 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Region Healthcare Corporation | Fergus falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Region Healthcare Corporation | 3971565334 | 124 |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
| Entity Name | Prairie Ridge Hospital And Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407838329 PECOS PAC ID: 0648222349 Enrollment ID: O20050210000490 |
| Entity Name | Lake Region Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
| Entity Name | Ttb Services Prof Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962743492 PECOS PAC ID: 3476797135 Enrollment ID: O20230921004300 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan B Anderson, CRNA 400 E 10th St, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Jonathan B Anderson, CRNA 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8878 |
Jerry Durfee, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 952-442-9770 | |
Terry Neubarth, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4035 30th Ave Sw, Montevideo, MN 56265 Phone: 952-442-9770 | |
Thomas G Lewison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-269-8186 | |
Jeanne Murphy, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 952-442-9770 |