| Justin Ryan Chavis, RN | |
|
1 Elliot Way Ste 200, Manchester, NH 03103-3502 | |
| (603) 663-2315 | |
| Not Available |
| Full Name | Justin Ryan Chavis |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1 Elliot Way Ste 200, Manchester, New Hampshire |
| 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 |
|---|---|---|---|
| 1578172854 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brattleboro Memorial Hospital | Brattleboro, VT | Hospital |
| Speare Memorial Hospital | Plymouth, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amoskeag Anesthesia Pllc | 1759375983 | 158 |
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | Amoskeag Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104883511 PECOS PAC ID: 1759375983 Enrollment ID: O20040513001385 |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20170817001824 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Ryan Chavis, RN 1149 E Main St Apt 302, Chattanooga, TN 37408-1631 Ph: (803) 743-6024 | Justin Ryan Chavis, RN 1 Elliot Way Ste 200, Manchester, NH 03103-3502 Ph: (603) 663-2315 |
Bethany Peattie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-668-3545 Fax: 434-517-3021 | |
Laura Slason Dobens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180 | |
Kellie Cosgrove, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500 | |
Ian Doherty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way Ste 200, Manchester, NH 03103 Phone: 603-663-2315 | |
Michael Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-668-3545 | |
Brenda S Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180 | |
Concetta Mcalister, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180 |