| Marissa Ann Hewitt, CRNA | |
|
630 Medical Dr, Bountiful, UT 84010-4908 | |
| (801) 299-2276 | |
| Not Available |
| Full Name | Marissa Ann Hewitt |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 630 Medical Dr, Bountiful, Utah |
| 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 |
|---|---|---|---|
| 1750434981 | NPI | - | NPPES |
| 529910998001 | Medicaid | UT | |
| 30900244000001 | Other | UT | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 309002-4406 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Grand junction, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical Group Llc | 1052612785 | 94 |
| Entity Name | Rangely Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730108747 PECOS PAC ID: 6103714175 Enrollment ID: O20040310000452 |
| Entity Name | Rangely Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1063430346 PECOS PAC ID: 6103714175 Enrollment ID: O20050727000573 |
| Entity Name | Ecgj Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120070 PECOS PAC ID: 9133364466 Enrollment ID: O20130314000349 |
| Entity Name | Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043640634 PECOS PAC ID: 1052612785 Enrollment ID: O20151222000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Ann Hewitt, CRNA 1586 E Millbrook Way, Bountiful, UT 84010-1530 Ph: (801) 298-3220 | Marissa Ann Hewitt, CRNA 630 Medical Dr, Bountiful, UT 84010-4908 Ph: (801) 299-2276 |
Mrs. Karine Julie Hachon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 216-926-4387 | |
Frank Lynn Hewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-2276 |