| Russell Rogers, | |
|
115 Falls Ave W, Twin Falls, ID 83301-3115 | |
| (208) 733-1662 | |
| (208) 733-9463 |
| Full Name | Russell Rogers |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 115 Falls Ave W, Twin 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 |
|---|---|---|---|
| 1922438233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA-01284 (New Mexico) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 55818 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Canyon Medical Center | Gooding, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Canyon Medical Center Inc | 0941371439 | 53 |
| Entity Name | North Canyon Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
| Entity Name | Twin Falls Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952683625 PECOS PAC ID: 6204095409 Enrollment ID: O20120307000605 |
| Entity Name | Rock Creek Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790284198 PECOS PAC ID: 1355604299 Enrollment ID: O20180406000956 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Rogers, 3075 N 3422 E, Kimberly, ID 83341-5362 Ph: (801) 458-7624 | Russell Rogers, 115 Falls Ave W, Twin Falls, ID 83301-3115 Ph: (208) 733-1662 |
Mr. Chet Dansie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Daniel Scott Johnson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-734-7362 Fax: 208-814-0948 | |
Brendan Petersen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
John Brandon Cory, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Robert Kinghorn, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 115 Falls Ave W, Twin Falls, ID 83301 Phone: 208-734-7362 Fax: 208-733-9463 | |
David A White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 Fax: 208-814-7528 | |
Jason Rojas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-2400 |