Mr Gustavo Pena, | |
834 Sheridan St, Port Townsend, WA 98368-2443 | |
(360) 385-2200 | |
Not Available |
Full Name | Mr Gustavo Pena |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 834 Sheridan St, Port Townsend, Washington |
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 |
---|---|---|---|
1649573056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP60201304 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN60127676 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Harrison Medical Center | Bremerton, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Olympic Anesthesia Services, Inc | 4587551064 | 33 |
Entity Name | University Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326002049 PECOS PAC ID: 3274445150 Enrollment ID: O20040105000544 |
Entity Name | Olympic Anesthesia Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586125 PECOS PAC ID: 4587551064 Enrollment ID: O20040301000362 |
Entity Name | Jefferson County Public Hospital District No 2 |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1356492953 PECOS PAC ID: 4789593708 Enrollment ID: O20080304000166 |
Mailing Address | Practice Location Address |
---|---|
Mr Gustavo Pena, 834 Sheridan St, Port Townsend, WA 98368-2443 Ph: (360) 385-2200 | Mr Gustavo Pena, 834 Sheridan St, Port Townsend, WA 98368-2443 Ph: (360) 385-2200 |
Patricia L Stanwood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 Fax: 360-379-2242 | |
Maria Packard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 | |
Kory M Albert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 | |
Matthew D. Petta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 628 Madison St, Port Townsend, WA 98368 Phone: 402-990-0733 | |
Brad T Walker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 | |
Colum Patrick Tinley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 |