| Preston Peterson Bird, CRNA | |
|
170 N 1100 E, American Fork, UT 84003-2096 | |
| (801) 492-1611 | |
| Not Available |
| Full Name | Preston Peterson Bird |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 170 N 1100 E, American Fork, 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 |
|---|---|---|---|
| 1184058570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 6445536-4406 (Utah) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60404208 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brigham City Community Hospital | Brigham city, UT | Hospital |
| Ogden Regional Medical Center | Ogden, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brigham Anesthesia, Llc | 9335108299 | 5 |
| Nph Anesthesia Of Utah Llc | 9537584313 | 86 |
| Entity Name | Brigham Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710904800 PECOS PAC ID: 9335108299 Enrollment ID: O20041006000807 |
| Entity Name | Nph Anesthesia Of Utah Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Peterson Bird, CRNA Po Box 94645, Seattle, WA 98124-6945 Ph: (509) 474-6842 | Preston Peterson Bird, CRNA 170 N 1100 E, American Fork, UT 84003-2096 Ph: (801) 492-1611 |
Kevin K Hair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1014 E 220 N, American Fork, UT 84003 Phone: 801-763-5461 | |
Mr. Michael Ryan Blaney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-357-8818 | |
Mrs. Vanessa Passanante, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3267 Fax: 801-855-3251 | |
Graham Brent Prime, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-763-3300 | |
Daniel William Bunker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1159 E 200 N, #100, American Fork, UT 84003 Phone: 801-855-3372 | |
Tisha C. Gordon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-763-3300 Fax: 801-432-2668 |