| Mr Walter Jesse Trudo, CRNA | |
|
3100 Channing Way, Idaho Falls, ID 83404-7533 | |
| (479) 659-2746 | |
| Not Available |
| Full Name | Mr Walter Jesse Trudo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 3100 Channing Way, Idaho Falls, Idaho |
| 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 |
|---|---|---|---|
| 1841243474 | NPI | - | NPPES |
| 4704251198 | Other | MI | ANESTHESIOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 0090514 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Taylor Surgery Center, Llc | 2163601675 | 2 |
| Entity Name | Taylor Surgery Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740738897 PECOS PAC ID: 2163601675 Enrollment ID: O20110128000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Walter Jesse Trudo, CRNA 343 Sunterra Dr, Idaho Falls, ID 83404-5089 Ph: (479) 659-2746 | Mr Walter Jesse Trudo, CRNA 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (479) 659-2746 |
Reed D Loertscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6285 | |
Mr. David Joseph Swope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2290 Coronado St, Idaho Falls, ID 83404 Phone: 208-421-1159 | |
Jason Cole Semchak, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Carlene M Canfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 E 17th St, Idaho Falls, ID 83404 Phone: 208-525-2090 Fax: 208-525-2662 | |
Douglas Jex, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269 | |
Mr. Bryan Todd Merkley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-557-2700 | |
Dr. Scott Havard, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 207-745-4081 |