| Toby Allen Penner, CRNA, MSN | |
|
610 Nw 11th St, Hermiston, OR 97838-6601 | |
| (541) 667-3406 | |
| (541) 667-3420 |
| Full Name | Toby Allen Penner |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 610 Nw 11th St, Hermiston, Oregon |
| 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 |
|---|---|---|---|
| 1750498986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midsouth Speciality Anesthesia Services Llc | 6103293667 | 29 |
| Lauderdale Community Hospital Llc | 9830505023 | 8 |
| Entity Name | East Memphis Anesthesia Services PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578592663 PECOS PAC ID: 1850386038 Enrollment ID: O20040416001400 |
| Entity Name | Lifelinc Anesthesia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20091231000232 |
| Entity Name | Lauderdale Community Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962034272 PECOS PAC ID: 9830505023 Enrollment ID: O20210422000338 |
| Entity Name | Lauderdale Community Hospital LLC |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1376175687 PECOS PAC ID: 9830505023 Enrollment ID: O20210507000505 |
| Entity Name | Midsouth Speciality Anesthesia Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245956440 PECOS PAC ID: 6103293667 Enrollment ID: O20221121000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Toby Allen Penner, CRNA, MSN Po Box 274, Hermiston, OR 97838-0274 Ph: (541) 564-4466 | Toby Allen Penner, CRNA, MSN 610 Nw 11th St, Hermiston, OR 97838-6601 Ph: (541) 667-3406 |
Mr. Eric Devin Bartley Sr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St, Hermiston, OR 97838 Phone: 541-667-3400 |
Mr. Darren M Ernst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St., Hermiston, OR 97838 Phone: 541-667-3400 Fax: 541-667-3694 |
Joanna M Starratt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St, Hermiston, OR 97838 Phone: 541-990-2577 |
David Jean Duranceau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St, Hermiston, OR 97838 Phone: 541-667-3400 |