| Mr Matthew James Spivey, | |
|
1200 S Columbia Rd, Grand Forks, ND 58201-4036 | |
| (701) 780-5270 | |
| Not Available |
| Full Name | Mr Matthew James Spivey |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1200 S Columbia Rd, Grand Forks, North Dakota |
| 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 |
|---|---|---|---|
| 1790743268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R27666 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altru Hospital | Grand forks, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Altru Health System | 1355251604 | 554 |
| Altru Health System | 1355251604 | 554 |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
| Entity Name | Mercy Hospital Of Devils Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790751170 PECOS PAC ID: 9537128681 Enrollment ID: O20041005001141 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew James Spivey, 5702 Pinehurst Dr, Grand Forks, ND 58201-2808 Ph: (701) 772-3745 | Mr Matthew James Spivey, 1200 S Columbia Rd, Grand Forks, ND 58201-4036 Ph: (701) 780-5270 |
Scott B Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Jennifer A Harrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Jessica Anne Bratrud, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Mrs. Liana Rae Madsen, APRN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 S. Columbia Rd., Grand Forks, ND 58201 Phone: 218-779-5669 | |
Carissa Ashlee Grabanski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Nathan Koland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Timothy Richard Schmiedeberg, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 Fax: 701-780-1942 |