| Tracy Huntington, CRNA | |
|
205 Orchard Dr, Sisseton, SD 57262-2312 | |
| (605) 698-4665 | |
| (605) 698-6401 |
| Full Name | Tracy Huntington |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 205 Orchard Dr, Sisseton, South Dakota |
| 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 |
|---|---|---|---|
| 1225297724 | NPI | - | NPPES |
| 16460 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR000703 (South Dakota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R30191 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coteau Des Prairies Health Care System | Sisseton, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coteau Des Prairies Hospital | 8022926468 | 10 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013921733 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
| Entity Name | Huron Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20040123000946 |
| Entity Name | Coteau Des Prairies Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417051517 PECOS PAC ID: 8022926468 Enrollment ID: O20040426000280 |
| Entity Name | Huron Regional Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20061104000295 |
| Entity Name | Coteau Des Prairies Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417051517 PECOS PAC ID: 8022926468 Enrollment ID: O20081015000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Huntington, CRNA Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000 | Tracy Huntington, CRNA 205 Orchard Dr, Sisseton, SD 57262-2312 Ph: (605) 698-4665 |
Miss Stephani Sue Scheurenbrand, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 205 Orchard Dr, Sisseton, SD 57262 Phone: 605-698-7681 Fax: 605-698-6423 |