| Mr John P Jurkanin, CRNA | |
|
3043 Ne 28th St, Lincoln City, OR 97367-4518 | |
| (541) 994-3661 | |
| Not Available |
| Full Name | Mr John P Jurkanin |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3043 Ne 28th St, Lincoln City, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235230210 | NPI | - | NPPES |
| 0006821023 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 200760009CRNA (Oregon) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 041-185240 (Illinois) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John P Jurkanin, CRNA Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Mr John P Jurkanin, CRNA 3043 Ne 28th St, Lincoln City, OR 97367-4518 Ph: (541) 994-3661 |
Mr. Devon D Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-994-3661 | |
Paul S. Palmer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-996-7152 Fax: 541-996-7120 | |
Katie Elliott, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-994-3661 |