| Mr Dewey Michael Driscoll, CRNA | |
|
333 North 18th, Bldg A, Pocatello, ID 83201 | |
| (208) 233-8880 | |
| (208) 232-1950 |
| Full Name | Mr Dewey Michael Driscoll |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 333 North 18th, Pocatello, Idaho |
| 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 |
|---|---|---|---|
| 1871925057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA872A (Idaho) | 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 | 39 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Intermountain Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558304329 PECOS PAC ID: 5193638781 Enrollment ID: O20040825000367 |
| Entity Name | Ambulatory Surgery Center Of Burley, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1992706840 PECOS PAC ID: 7517006596 Enrollment ID: O20091204000125 |
| 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 |
|---|---|
| Mr Dewey Michael Driscoll, CRNA Po Box 4107, Pocatello, ID 83205-4107 Ph: (208) 233-8880 | Mr Dewey Michael Driscoll, CRNA 333 North 18th, Bldg A, Pocatello, ID 83201 Ph: (208) 233-8880 |
Mr. Timothy Morgan Naylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 285 Vista Dr, Pocatello, ID 83201 Phone: 208-478-1704 | |
Nicholas Stoddard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 | |
Mark Alan Pendleton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 082-391-0562 Fax: 208-239-3626 | |
Jamie Leigh Cassinat, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-209-1000 | |
Eric Michael Stradley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Richard Aaron Marler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave, Bldg A, Pocatello, ID 83201 Phone: 208-233-8880 Fax: 208-232-1950 | |
Mr. Kenneth Michael Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave Ste A, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 |