| Kathleen S Maunu, RN, CRNA | |
|
600 Mt Highway 91 S, Dillon, MT 59725-7379 | |
| (406) 683-3000 | |
| (406) 683-3027 |
| Full Name | Kathleen S Maunu |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 600 Mt Highway 91 S, Dillon, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548251911 | NPI | - | NPPES |
| 023644600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R-139724-6 (Minnesota) | Primary |
| Entity Name | Barrett Hospital Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1396286480 PECOS PAC ID: 4082904487 Enrollment ID: O20170223001015 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen S Maunu, RN, CRNA 600 Mt Highway 91 S, Dillon, MT 59725-7379 Ph: (406) 683-3000 | Kathleen S Maunu, RN, CRNA 600 Mt Highway 91 S, Dillon, MT 59725-7379 Ph: (406) 683-3000 |
Dennis B. Hatfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Highway 91 South, Dillon, MT 59725 Phone: 406-683-2323 | |
Gordon H. Lucas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Highway 91 South, Dillon, MT 59725 Phone: 406-683-3000 | |
Kenny Joe Wallen, D.N.P. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 State Hwy 91 S, Dillon, MT 59725 Phone: 406-683-3000 | |
Mr. Cecil Timothy Jackson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 90 Highway 91 South, C/o Barrett Hospital & Healthcare, Dillon, MT 59725 Phone: 406-683-3000 Fax: 406-683-3011 |