| Thomas G Lewison, CRNA | |
|
824 N 11th St, Montevideo, MN 56265-1629 | |
| (320) 269-8877 | |
| (320) 269-8186 |
| Full Name | Thomas G Lewison |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 824 N 11th St, Montevideo, Minnesota |
| 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 |
|---|---|---|---|
| 1790034742 | NPI | - | NPPES |
| 1790034742 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R169007-9 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chippewa County Hospital | Montevideo, MN | Hospital |
| Glacial Ridge Hospital | Glenwood, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glacial Ridge Hospital District | 5294789194 | 49 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
| Entity Name | Glacial Ridge Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255348223 PECOS PAC ID: 5294789194 Enrollment ID: O20050719000315 |
| Entity Name | Glacial Ridge Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538178520 PECOS PAC ID: 5294789194 Enrollment ID: O20061104000464 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700429610 PECOS PAC ID: 1456784560 Enrollment ID: O20191204000103 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700429644 PECOS PAC ID: 1456784560 Enrollment ID: O20200106000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas G Lewison, CRNA 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 | Thomas G Lewison, CRNA 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 |
Jerry Durfee, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 952-442-9770 | |
Terry Neubarth, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4035 30th Ave Sw, Montevideo, MN 56265 Phone: 952-442-9770 | |
Jonathan B Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8878 Fax: 952-442-3620 | |
Jeanne Murphy, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 952-442-9770 |