| Richard Carver, CRNA | |
|
195 Overthrust Rd., Evanston, WY 82930-9266 | |
| (307) 444-3600 | |
| (307) 789-3760 |
| Full Name | Richard Carver |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 195 Overthrust Rd., Evanston, Wyoming |
| 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 |
|---|---|---|---|
| 1083785281 | NPI | - | NPPES |
| 118226900 | Medicaid | WY | |
| P00023100 | Other | WY | RAILROAD MEDICARE |
| 311872 | Other | WY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 21113.785 (Wyoming) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 264797-4406 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Medical Center | Casper, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital Of Converse County | 2264340843 | 55 |
| Evanston Hospital Corporation | 7113900358 | 10 |
| Entity Name | Memorial Hospital Of Converse County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20031203000672 |
| Entity Name | Teton County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954 |
| Entity Name | Evanston Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013288836 PECOS PAC ID: 7113900358 Enrollment ID: O20040609001235 |
| Entity Name | Evanston Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891979258 PECOS PAC ID: 5991883514 Enrollment ID: O20080423000335 |
| Entity Name | Pinnacle Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588092274 PECOS PAC ID: 5890927404 Enrollment ID: O20140415000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Carver, CRNA Po Box 1477, Evanston, WY 82931-1477 Ph: (307) 789-1219 | Richard Carver, CRNA 195 Overthrust Rd., Evanston, WY 82930-9266 Ph: (307) 444-3600 |
Jeremy R Taysom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 Arrowhead Dr, Evanston, WY 82930 Phone: 307-789-3636 |