| Michael A Dagley, CRNA | |
|
1485 S Highway 40, Heber City, UT 84032-3522 | |
| (435) 654-2500 | |
| Not Available |
| Full Name | Michael A Dagley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 1485 S Highway 40, Heber City, Utah |
| 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 |
|---|---|---|---|
| 1699790113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 049473 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Heber Valley Hospital | Heber city, UT | Hospital |
| Page Hospital | Page, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Anesthesia Llc | 9234438649 | 4 |
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 636 |
| Entity Name | Legacy Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851764112 PECOS PAC ID: 9234438649 Enrollment ID: O20160505001075 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Dagley, CRNA 1089 E 270 N, Heber City, UT 84032-3051 Ph: (435) 654-0361 | Michael A Dagley, CRNA 1485 S Highway 40, Heber City, UT 84032-3522 Ph: (435) 654-2500 |
Mr. Justin Douglas Wiliiams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 454 E Medical Way, Heber City, UT 84032 Phone: 435-658-6738 |
Jack Holland, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Heber Valley Hospital, 1485 Us-40, Heber City, UT 84032 Phone: 435-654-2500 |
Shannon H Hallowell-schemmer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1485 S Highway 40, Heber City, UT 84032 Phone: 435-654-2500 |