| Miss Jeanne M Debarto, CRNA | |
|
111 W State St, Boise, ID 83702-6127 | |
| (208) 336-0895 | |
| (208) 338-1796 |
| Full Name | Miss Jeanne M Debarto |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 111 W State St, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861403107 | NPI | - | NPPES |
| 806142300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA500 (Idaho) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60268686 (Washington) | Secondary |
| Entity Name | Intermountain Ambulatory Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073546289 PECOS PAC ID: 0345235180 Enrollment ID: O20040420000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Jeanne M Debarto, CRNA 111 W State St, Boise, ID 83702-6127 Ph: (208) 336-0895 | Miss Jeanne M Debarto, CRNA 111 W State St, Boise, ID 83702-6127 Ph: (208) 336-0895 |
Allison Elisabeth May, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Tanner Trumble, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4815 W Richardson St, Boise, ID 83705 Phone: 307-871-4422 | |
Mr. Douglas Neurath, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 | |
Jordan B Wolff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 Fax: 208-338-1796 | |
Nathan S Call, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Madeline Tripp, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Kenneth Clark Stratton Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2559 |