| Abraham Crockett, RN | |
|
1253 Nw Canal Blvd, Redmond, OR 97756-1334 | |
| (541) 526-6576 | |
| (541) 526-6675 |
| Full Name | Abraham Crockett |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1253 Nw Canal Blvd, Redmond, Oregon |
| 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 |
|---|---|---|---|
| 1821464264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 201041236RN (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 201507563CRNA-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bend Anesthesiology Group, Pc | 4880683788 | 57 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
| Entity Name | Bend Anesthesiology Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467400200 PECOS PAC ID: 4880683788 Enrollment ID: O20040506001575 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Abraham Crockett, RN Po Box 2847, Corvallis, OR 97339-2847 Ph: () - | Abraham Crockett, RN 1253 Nw Canal Blvd, Redmond, OR 97756-1334 Ph: (541) 526-6576 |
John Michael Unruh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-516-3877 | |
Jeremy Thomas Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 | |
Christopher A Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-516-3877 | |
Sarah Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-526-6576 Fax: 541-526-6675 | |
Olivia Boots, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 |