Deann Laree Birnel, M.D.

Individual provider Active NPI Anesthesiology Physician · Missoula, MT

NPI 1699765602 · NPPES record last updated Mar 10, 2015

Key facts

NPI
1699765602
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
10149 (MT)
Practice address
835 Speedway Ave
Missoula, MT 59802-5563
Phone
(406) 549-8011
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10149MTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Critical Care Services, PC Past Accepting new patients
Wind River Anesthesia PC Anesthesiology Past Accepting new patients
Missoula Anesthesiology, P.C. Anesthesiology Past
since Jan 29, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 10149 MT Yes

Addresses

Primary practice location

835 Speedway Ave
Missoula, MT 59802-5563

Mailing address

835 Speedway Ave
Missoula, MT 59802-5563
Phone (406) 549-8011

Other identifiers

IdentifierTypeStateIssuer
806816200MedicaidID
0070669MedicaidMT

Other providers in Missoula, MT

All providers in Missoula, MT · Anesthesiology Physician in Montana

Sources for this page

Verify at the official NPI Registry.