| Angel Sidell, RN | |
|
930 Sw Abbey St, Newport, OR 97365-4820 | |
| (541) 265-2244 | |
| Not Available |
| Full Name | Angel Sidell |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 930 Sw Abbey St, Newport, Oregon |
| 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 |
|---|---|---|---|
| 1487216537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 390200000X (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 202211488CRNA-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Pacific Community Hospital | Newport, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Samaritan Pacific Health Services Inc | 2466353529 | 68 |
| Entity Name | Good Samaritan Hospital Corvallis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
| 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 |
|---|---|
| Angel Sidell, RN Po Box 2847, Corvallis, OR 97339-2847 Ph: () - | Angel Sidell, RN 930 Sw Abbey St, Newport, OR 97365-4820 Ph: (541) 265-2244 |
Cameron Mcguire, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 | |
Mekenzie Spencer Johnston Kmack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838 | |
Mr. Brent D. Bunker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838 | |
Ms. Julie L Carozza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 | |
Ms. Cynthia A. Jacobi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey Street, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838 | |
Ronald D Gilliam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 208-484-2193 |