| Travis C Blackhurst, CRNA | |
|
202 Prospect Dr, Glendive, MT 59330-1999 | |
| (406) 345-3306 | |
| Not Available |
| Full Name | Travis C Blackhurst |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 202 Prospect Dr, Glendive, Montana |
| 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 |
|---|---|---|---|
| 1548528706 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Campbell County Health | Gillette, WY | Hospital |
| Glendive Medical Center | Glendive, MT | Hospital |
| Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health | 7911816020 | 301 |
| Glendive Medical Center Inc | 7214846823 | 15 |
| Sanford Bismarck | 9739098575 | 558 |
| Spectrum Health Primary Care Partners | 4587568647 | 2283 |
| Campbell County Hospital District | 2860392529 | 138 |
| Entity Name | Sanford Bismarck |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
| Entity Name | Trinity Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis C Blackhurst, CRNA 1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004 Ph: (360) 729-1253 | Travis C Blackhurst, CRNA 202 Prospect Dr, Glendive, MT 59330-1999 Ph: (406) 345-3306 |
Mr. Joseph C Chamberlain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 202 Prospect Dr, Glendive, MT 59330 Phone: 406-345-3306 | |
Shawn Patrick Regan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 202 Prospect Dr, Glendive, MT 59330 Phone: 406-345-3306 | |
Jeffery R. Schultz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 202 Prospect Dr, Glendive, MT 59330 Phone: 406-345-3345 Fax: 406-345-3347 | |
Sally Reichert, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 202 Prospect Dr, Glendive, MT 59330 Phone: 406-345-3306 Fax: 406-345-3358 |