| Andrew J Addley, CRNA | |
|
1000 Greenley Rd, Sonora, CA 95370-5200 | |
| (209) 770-4501 | |
| Not Available |
| Full Name | Andrew J Addley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1000 Greenley Rd, Sonora, California |
| 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 |
|---|---|---|---|
| 1356976724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN95213005 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 67503 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Idaho Pllc | 6204283856 | 39 |
| Entity Name | Sei Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750701199 PECOS PAC ID: 4183849979 Enrollment ID: O20140711000736 |
| Entity Name | Northstar Anesthesia Of Idaho Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912686882 PECOS PAC ID: 6204283856 Enrollment ID: O20231103002037 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew J Addley, CRNA 1000 Greenley Rd, Sonora, CA 95370-5200 Ph: (209) 770-4501 | Andrew J Addley, CRNA 1000 Greenley Rd, Sonora, CA 95370-5200 Ph: (209) 770-4501 |
Ms. Karen Maureen Blum, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Greenley Rd, Sonora, CA 95370 Phone: 209-536-5000 Fax: 209-536-3514 | |
Mr. Andrew Fitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Greenley Rd, Sonora, CA 95370 Phone: 209-536-5000 | |
Joshua Lee Hawkins, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Greenley Rd, Sonora, CA 95370 Phone: 209-536-5000 | |
Christopher Michael Stuehser, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Greenley Rd, Sonora, CA 95370 Phone: 385-244-8986 | |
Mr. Vinod C Bhan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 940 Sylva Ln, Suite G, Sonora, CA 95370 Phone: 209-532-0340 Fax: 209-532-6405 |