| Luke Jarvis Jackson, CRNA | |
|
1400 29th St S, Great Falls, MT 59405-5353 | |
| (409) 454-2171 | |
| Not Available |
| Full Name | Luke Jarvis Jackson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1400 29th St S, Great Falls, Montana |
| 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 |
|---|---|---|---|
| 1194136010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NUR-RN-LIC-74240 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Idaho Pllc | 6204283856 | 31 |
| Sei Anesthesia Pllc | 4183849979 | 22 |
| Entity Name | Sei Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750701199 PECOS PAC ID: 4183849979 Enrollment ID: O20140711000736 |
| Entity Name | Northstar Anesthesia Of Idaho Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912686882 PECOS PAC ID: 6204283856 Enrollment ID: O20231103002037 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Jarvis Jackson, CRNA 543 W 2700 N, Nephi, UT 84648-3004 Ph: (435) 531-9643 | Luke Jarvis Jackson, CRNA 1400 29th St S, Great Falls, MT 59405-5353 Ph: (409) 454-2171 |
Thomas Scruggs, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3010 15th Ave S, Great Falls, MT 59405 Phone: 406-216-8000 | |
Richard W Willey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1509 29th St S, Great Falls, MT 59405 Phone: 406-771-3500 Fax: 406-771-3502 | |
Mr. Michael A. Mahler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5000 Fax: 406-731-8318 | |
Jeffrey L. Allen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5000 | |
Gary R Howard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1509 29th St S, Great Falls, MT 59405 Phone: 406-771-3500 Fax: 406-771-3502 | |
Mrs. Robinette Louise Jankiewicz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St. S., Benefis, Great Falls, MT 59405 Phone: 406-731-8755 |