| Rand N Bracken, CRNA | |
|
700 S Main St, Moscow, ID 83843-3056 | |
| (208) 882-4511 | |
| Not Available |
| Full Name | Rand N Bracken |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 700 S Main St, Moscow, 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 |
|---|---|---|---|
| 1386616332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA-959A (Idaho) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA000310 (Nevada) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cassia Regional Hospital | Burley, ID | Hospital |
| Entity Name | Rnba, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659838027 PECOS PAC ID: 9436490075 Enrollment ID: O20190409002466 |
| Mailing Address | Practice Location Address |
|---|---|
| Rand N Bracken, CRNA 700 S Main St, Moscow, ID 83843-3056 Ph: (208) 882-4511 | Rand N Bracken, CRNA 700 S Main St, Moscow, ID 83843-3056 Ph: (208) 882-4511 |
Adrianne Marie Fejes, DNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6571 | |
Gregory Bauer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-746-7555 Fax: 208-746-7556 | |
Lorraine Windridge Granfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2709 Robinson Park Rd, Moscow, ID 83843 Phone: 772-285-3457 | |
Dustin Paul Gill, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 804 S Washington St Ste A, Moscow, ID 83843 Phone: 208-883-6700 | |
Steven C Reitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-883-4511 Fax: 208-883-6571 |