Deborah S Gaston, CRNA | |
12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 | |
(425) 353-3788 | |
(425) 353-8041 |
Full Name | Deborah S Gaston |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 12333 Ne 130th Lane, Kirkland, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043311558 | NPI | - | NPPES |
9616913 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN00093747 (Washington) | Primary |
Entity Name | Matrix Anesthesia, Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831146422 PECOS PAC ID: 3971403700 Enrollment ID: O20040109000422 |
Entity Name | Paceline Anesthesia, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417273780 PECOS PAC ID: 5799853099 Enrollment ID: O20081013000526 |
Mailing Address | Practice Location Address |
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Deborah S Gaston, CRNA Po Box 94181, Seattle, WA 98124-6481 Ph: (425) 353-3788 | Deborah S Gaston, CRNA 12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 Ph: (425) 353-3788 |
David A Boehne, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 Phone: 425-353-3788 Fax: 425-353-8041 | |
Terry Cicero, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 Phone: 425-353-3788 Fax: 425-353-8041 |