Shane B Merrill, CRNA | |
505 Ne 87th Ave Ste 210, Vancouver, WA 98664-1988 | |
(801) 509-1455 | |
Not Available |
Full Name | Shane B Merrill |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 505 Ne 87th Ave Ste 210, Vancouver, 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 |
---|---|---|---|
1487959508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | SRA100020 (Colorado) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP60510081 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Longview Anesthesiology Group, Pc | 0749177756 | 3 |
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Entity Name | Columbia Anesthesia Group P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861448235 PECOS PAC ID: 8426954322 Enrollment ID: O20031211000035 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Entity Name | Longview Anesthesiology Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003894957 PECOS PAC ID: 0749177756 Enrollment ID: O20040303001054 |
Mailing Address | Practice Location Address |
---|---|
Shane B Merrill, CRNA 400 W 16th St, Pueblo, CO 81003-2745 Ph: (719) 584-4420 | Shane B Merrill, CRNA 505 Ne 87th Ave Ste 210, Vancouver, WA 98664-1988 Ph: (801) 509-1455 |
Karl Whitman Hare, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1498 Se Tech Center Pl Ste 385, Vancouver, WA 98683 Phone: 360-360-2244 Fax: 360-360-2244 | |
Cesar D Caceres, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-828-5396 | |
Trevor Swedeen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-828-5396 | |
Mr. Matthew D Lail, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664 Phone: 360-828-5396 Fax: 360-828-5455 | |
Mrs. Elise Marie O'connor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-514-4004 | |
Matthew Andrew Bolsoy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-828-5396 | |
Beth A Brinkman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-828-5396 Fax: 360-828-5455 |