| Mr Justin D Williams, CRNA | |
|
650 E 250 S, Heber City, UT 84032-2149 | |
| (435) 671-0031 | |
| Not Available |
| Full Name | Mr Justin D Williams |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 650 E 250 S, Heber City, 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 |
|---|---|---|---|
| 1285671446 | NPI | - | NPPES |
| 911387900 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 074792 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heber Valley Hospital | Heber city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Anesthesia Llc | 9234438649 | 5 |
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 524 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Mountain West Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
| Entity Name | Legacy Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851764112 PECOS PAC ID: 9234438649 Enrollment ID: O20160505001075 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin D Williams, CRNA 1485 S Highway 40, Heber City, UT 84032-3522 Ph: (435) 654-2500 | Mr Justin D Williams, CRNA 650 E 250 S, Heber City, UT 84032-2149 Ph: (435) 671-0031 |
Michael A Dagley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1485 S Highway 40, Heber City, UT 84032 Phone: 435-654-2500 | |
Shannon H Hallowell-schemmer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1485 S Highway 40, Heber City, UT 84032 Phone: 435-654-2500 |