| Kyle Thomas Shibley, CRNA | |
|
1002 N Spokane St, Post Falls, ID 83854-6731 | |
| (208) 457-7078 | |
| Not Available |
| Full Name | Kyle Thomas Shibley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 1002 N Spokane St, Post Falls, Idaho |
| 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 |
|---|---|---|---|
| 1417449380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 59608 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River City Anesthesia Associates Pllc | 4385534445 | 17 |
| Entity Name | River City Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114908993 PECOS PAC ID: 4385534445 Enrollment ID: O20040319001270 |
| Entity Name | Northern Lakes Surgery Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1861271629 PECOS PAC ID: 8921445677 Enrollment ID: O20240318002301 |
| Entity Name | Hayden Lake Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134926181 PECOS PAC ID: 1759806623 Enrollment ID: O20250423002099 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Thomas Shibley, CRNA 1002 N Spokane St, Post Falls, ID 83854-6731 Ph: (208) 457-7078 | Kyle Thomas Shibley, CRNA 1002 N Spokane St, Post Falls, ID 83854-6731 Ph: (208) 457-7078 |
Eric T Riley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2400 Fax: 208-262-2412 | |
Amy Sutherland, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4171 W Expo Pkwy, Post Falls, ID 83854 Phone: 512-422-3897 | |
Clarke B Webb, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2400 Fax: 208-262-2412 | |
Barry D Honcoop, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2400 Fax: 208-262-2412 | |
Joseph S Funk, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2400 Fax: 208-262-2412 | |
Ronald H Rock, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1593 E Polston Ave, Post Falls, ID 83854 Phone: 208-262-2314 |