| Justin R Fenus, JUSTIN FENUS | |
|
2735 Silver Creek Rd, Bullhead City, AZ 86442-7924 | |
| (928) 763-2273 | |
| Not Available |
| Full Name | Justin R Fenus |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2735 Silver Creek Rd, Bullhead City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912298530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 29266.1109 (Wyoming) | Primary |
| Entity Name | Riverton Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205875614 PECOS PAC ID: 8426954496 Enrollment ID: O20040505000232 |
| Entity Name | Evanston Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013288836 PECOS PAC ID: 7113900358 Enrollment ID: O20040609001235 |
| Entity Name | Evanston Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891979258 PECOS PAC ID: 5991883514 Enrollment ID: O20080423000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin R Fenus, JUSTIN FENUS 190 Seminole Dr, Evanston, WY 82930-6600 Ph: (801) 367-4997 | Justin R Fenus, JUSTIN FENUS 2735 Silver Creek Rd, Bullhead City, AZ 86442-7924 Ph: (928) 763-2273 |
Mr. Alexis Perez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: -- | |
Melanie Sarabia, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-2273 | |
Kevin Bowden, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-2273 | |
Danielle Jordan, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-2273 | |
Dr. Christal Bustos-camama Orris, DNAP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-2273 | |
Christian Beesley, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-2273 | |
Dalene D. Perdue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2735 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-2273 |