| Mr Jerald Johnson Ii, | |
|
20 E River Park Pl W, Fresno, CA 93720-1551 | |
| (555) 555-5555 | |
| Not Available |
| Full Name | Mr Jerald Johnson Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 20 E River Park Pl W, Fresno, California |
| 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 |
|---|---|---|---|
| 1679144562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 767118 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001755 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Community Hospital | Riverside, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Darin Rentz Do Pc | 7315333853 | 108 |
| Entity Name | Mission Nursing Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20151130000657 |
| Entity Name | Darin Rentz Do Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689321747 PECOS PAC ID: 7315333853 Enrollment ID: O20220408001009 |
| Entity Name | Jp Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609590926 PECOS PAC ID: 1759750193 Enrollment ID: O20221207001703 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerald Johnson Ii, 20 E River Park Pl W, Fresno, CA 93720-1551 Ph: (555) 555-5555 | Mr Jerald Johnson Ii, 20 E River Park Pl W, Fresno, CA 93720-1551 Ph: (555) 555-5555 |
Dr. Joseph William Martin, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Fresno & R Street, Fresno, CA 93721 Phone: 559-459-6000 | |
Dr. Thomas Fuentez Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Nathan J Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-4349 Fax: 559-459-4103 | |
Saul Armando Perez Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7417 N Cedar Ave, Fresno, CA 93720 Phone: 559-436-0871 | |
Vernon Chad Nielsen, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-6000 | |
Dr. Jorge Lopez, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 N Diana St, Fresno, CA 93701 Phone: 559-940-4177 | |
Casey Jordan Elison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-6000 Fax: 559-498-8182 |