| Mr Dean Dennis Severson, CRNA | |
|
2055 N Main St, Tooele, UT 84074-9819 | |
| (435) 843-3600 | |
| Not Available |
| Full Name | Mr Dean Dennis Severson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 2055 N Main St, Tooele, 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 |
|---|---|---|---|
| 1972683498 | NPI | - | NPPES |
| 1972683498 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 6280859-4406 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Ridges Hospital | Burnsville, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Metropolitan Anesthesia Pa | 1153370911 | 24 |
| Metropolitan Anesthesia Network Llp | 5698689123 | 497 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | Southdale Anesthesiologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154381804 PECOS PAC ID: 6709842461 Enrollment ID: O20041203000743 |
| Entity Name | South Metropolitan Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649265737 PECOS PAC ID: 1153370911 Enrollment ID: O20050119000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dean Dennis Severson, CRNA Po Box 210, Roy, UT 84067-0210 Ph: (081) 825-4700 | Mr Dean Dennis Severson, CRNA 2055 N Main St, Tooele, UT 84074-9819 Ph: (435) 843-3600 |
Matthew A. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St., Tooele, UT 84074 Phone: 435-843-3600 | |
Robin B. Bradshaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Annette S Proctor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Evie Anna Purdom, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Christopher David Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-8543 | |
Mr. Kyle H Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Mark E Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 |