| Edgar Foisy, CRNA | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 414-2000 | |
| Not Available |
| Full Name | Edgar Foisy |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578553418 | NPI | - | NPPES |
| 0266518 | Other | WA | LABOR & INDUSTRIES |
| 1013664 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 092006540CRNA (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP30005612 (Washington) | Primary |
| Entity Name | Cpr Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326436353 PECOS PAC ID: 7416272927 Enrollment ID: O20201222000543 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Foisy, CRNA Po Box 56, Brush Prairie, WA 98606-0056 Ph: (503) 250-0392 | Edgar Foisy, CRNA 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2000 |
Peter J Leyzac, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Brock J Amos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638 | |
Lee Bendickson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638 | |
Shane B Merrill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Longview, WA 98632 Phone: 360-442-7900 | |
Jesse I Broome, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Megan Marie Schill, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638 |