| Andrea Valicoff, CRNA | |
|
400 S 43rd St, Renton, WA 98055-5714 | |
| (800) 540-1814 | |
| Not Available |
| Full Name | Andrea Valicoff |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 400 S 43rd St, Renton, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578961769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP60537170 (Washington) | Primary |
| 163W00000X | Registered Nurse | RN1026698 (District Of Columbia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Astria Toppenish Hospital | Toppenish, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evergreen Anesthesia Associates Llc | 7113284530 | 26 |
| Yakima Valley Memorial Physicians | 1557391596 | 397 |
| Entity Name | Valley Anesthesia Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033165097 PECOS PAC ID: 0941112098 Enrollment ID: O20031105000635 |
| Entity Name | Sunnyside Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679521637 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
| Entity Name | Yakima Valley Memorial Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714 |
| Entity Name | Capital Medical Center Specialty Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
| Entity Name | Evergreen Anesthesia Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225575996 PECOS PAC ID: 7113284530 Enrollment ID: O20171120002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Valicoff, CRNA Po Box 84571, Seattle, WA 98124-5871 Ph: Not Available | Andrea Valicoff, CRNA 400 S 43rd St, Renton, WA 98055-5714 Ph: (800) 540-1814 |
Kathleen G Cavanaugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4033 Talbot Rd S, #270, Renton, WA 98055 Phone: 425-353-3788 Fax: 425-353-8041 |
Thuy Nguyen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-251-5180 |
Julia Lysyuk, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-228-3450 |
Raymond J Radell, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-353-3788 Fax: 425-353-8041 |
Alba Sari, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-407-1000 |
Richard D Clarke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 S 3rd St, Renton, WA 98055 Phone: 425-353-3788 Fax: 425-353-8041 |
Mrs. Melissa A. Jordan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4011 Talbot Rd., 5th Floor, Renton, WA 98055 Phone: 425-251-5100 Fax: 425-271-2561 |