| Bryan Phelps, CRNA | |
|
1221 Highland Ave, Clarkston, WA 99403-2829 | |
| (509) 758-5511 | |
| Not Available |
| Full Name | Bryan Phelps |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 1221 Highland Ave, Clarkston, 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 |
|---|---|---|---|
| 1447598214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP60329891 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-state Memorial Hospital | 4082502422 | 26 |
| Entity Name | Tri-state Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Phelps, CRNA 1221 Highland Ave, Clarkston, WA 99403-2829 Ph: (509) 758-5511 | Bryan Phelps, CRNA 1221 Highland Ave, Clarkston, WA 99403-2829 Ph: (509) 758-5511 |
Sirjana Pun, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 253-867-7777 | |
Mark Roubidoux, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 509-758-5511 | |
Julie Bechtel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 509-785-5511 |