| Kirk Leon Thompson, CRNA | |
|
1800 Spring Ridge Dr, Susanville, CA 96130-6100 | |
| (530) 252-2000 | |
| Not Available |
| Full Name | Kirk Leon Thompson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1800 Spring Ridge Dr, Susanville, California |
| 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 |
|---|---|---|---|
| 1316992951 | NPI | - | NPPES |
| RN6289820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 628982RN# (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ANESTHETIST#3046 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Lassen Medical Center | Susanville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Lassen Medical Center | 2961312640 | 5 |
| Entity Name | Banner Lassen Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538197231 PECOS PAC ID: 2961312640 Enrollment ID: O20040126000635 |
| Entity Name | Orohealth Corporation A Non Profit Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013933167 PECOS PAC ID: 4082501192 Enrollment ID: O20040325001703 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk Leon Thompson, CRNA Po Box 5040, Oroville, CA 95966 Ph: (530) 532-8584 | Kirk Leon Thompson, CRNA 1800 Spring Ridge Dr, Susanville, CA 96130-6100 Ph: (530) 252-2000 |
Gary Lyle Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1800 Spring Ridge Dr, Susanville, CA 96130 Phone: 530-252-2000 | |
Kirk E Lott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Spring Ridge Dr, Susanville, CA 96130 Phone: 530-252-2000 Fax: 530-252-2241 |