| Mr Jeremy Carlisle, CRNA | |
|
216 14th Ave Sw, Sidney, MT 59270-3519 | |
| (406) 488-2100 | |
| Not Available |
| Full Name | Mr Jeremy Carlisle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 216 14th Ave Sw, Sidney, Montana |
| 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 |
|---|---|---|---|
| 1437398229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 37444 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid Valley Hospital | Omak, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Northwest Llc | 7618908484 | 86 |
| Okanogan County Public Hospital District No. 3 | 6800707951 | 58 |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Entity Name | Springfield Or Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487158390 PECOS PAC ID: 4486917390 Enrollment ID: O20180405002737 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy Carlisle, CRNA 216 14th Ave Sw, Sidney, MT 59270-3519 Ph: (406) 488-2100 | Mr Jeremy Carlisle, CRNA 216 14th Ave Sw, Sidney, MT 59270-3519 Ph: (406) 488-2100 |
Adam Hyde Milton, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 216 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2100 | |
Bradley Lynn Strupp, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 216 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2295 | |
David P Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 216 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2100 | |
Mrs. Barbara Catherine Lundemo, NURSE PRACTIONER Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 214 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2100 | |
Mr. Michael Shane Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 216 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2100 Fax: 406-488-2261 | |
Mr. Thomas Dale Spiers Jr., C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 216 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2100 Fax: 406-488-2261 |