| Deanna M Martin, CRNA | |
|
21401 72nd Ave W, Edmonds, WA 98026-7702 | |
| (425) 304-1101 | |
| (425) 412-1864 |
| Full Name | Deanna M Martin |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 21401 72nd Ave W, Edmonds, 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 |
|---|---|---|---|
| 1598819138 | NPI | - | NPPES |
| 9651951 | Medicaid | WA | |
| 0218867 | Other | WA | L&I PIN |
| 87596U | Other | WA | REGENCE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30007616 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Care Washington Pllc | 6406752153 | 597 |
| Entity Name | Optum Care Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Entity Name | University Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326002049 PECOS PAC ID: 3274445150 Enrollment ID: O20040105000544 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Entity Name | Providence Wa Anesthesia Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135 |
| Entity Name | Lake Washington Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962935197 PECOS PAC ID: 3678840543 Enrollment ID: O20170524001681 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201002002223 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanna M Martin, CRNA 325 9th Ave, Box 359724, Seattle, WA 98104-2499 Ph: (206) 744-8491 | Deanna M Martin, CRNA 21401 72nd Ave W, Edmonds, WA 98026-7702 Ph: (425) 304-1101 |
Scott W Gray, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14820 72nd Ave W, Edmonds, WA 98026 Phone: 425-582-9421 Fax: 425-967-7919 | |
Sarah Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21401 72nd Ave W, Edmonds, WA 98026 Phone: 425-259-0966 Fax: 425-412-1864 | |
Sharon Kay Gray, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14820 72nd Ave W, Edmonds, WA 98026 Phone: 425-967-7919 | |
Amanda Rae Bush, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21401 72nd Ave W, Edmonds, WA 98026 Phone: 425-259-0966 |