| Kianne Rachelle Smith, CRNA | |
|
500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | |
| (541) 472-7000 | |
| Not Available |
| Full Name | Kianne Rachelle Smith |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 500 Sw Ramsey Ave, Grants Pass, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558922088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11002692 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 202109920CRNA-P (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Medford Pc | 5597750323 | 48 |
| Entity Name | Anesthesia Associates Of Medford Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073543963 PECOS PAC ID: 5597750323 Enrollment ID: O20040420000077 |
| Entity Name | Rogue Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043248917 PECOS PAC ID: 9830162197 Enrollment ID: O20040816000274 |
| Entity Name | Springfield Or Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487158390 PECOS PAC ID: 4486917390 Enrollment ID: O20180405002737 |
| Mailing Address | Practice Location Address |
|---|---|
| Kianne Rachelle Smith, CRNA 381 Nw Woodbrook Dr, Grants Pass, OR 97526-3338 Ph: (541) 727-1874 | Kianne Rachelle Smith, CRNA 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 Ph: (541) 472-7000 |
Thomas R Leblanc, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Scott W Rigdon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Matthew Allyn Fagert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Jamey L Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-5110 Fax: 541-472-7268 | |
Mr. Ronald Shenker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-472-4884 | |
Keith Andrew Jensen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Nathan R Broadbent, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7267 Fax: 812-237-0182 |