| Mr Lenny Eugene Dickens, CRNA | |
|
342 Fairview Street, Silverton, OR 97381 | |
| (503) 873-1705 | |
| (503) 873-1717 |
| Full Name | Mr Lenny Eugene Dickens |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 342 Fairview Street, Silverton, Oregon |
| 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 |
|---|---|---|---|
| 1235532318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 201041932RN (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 201701462CRNA (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Northwest Llc | 7618908484 | 86 |
| Entity Name | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lenny Eugene Dickens, CRNA Po Box 278, Woodburn, OR 97071 Ph: (971) 983-5260 | Mr Lenny Eugene Dickens, CRNA 342 Fairview Street, Silverton, OR 97381 Ph: (503) 873-1705 |
Mr. Charles G Lobdell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Mr. Todd Meyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Lam Truong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Bradley Mcneil Johnson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Mr. Robert Shaun Revels, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Alex Carl Bahrke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Mr. Rodger A Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 |