| Jacob Robert Froehle, CRNA | |
|
1717 S J St, Tacoma, WA 98405-4933 | |
| (844) 364-2778 | |
| (253) 985-6879 |
| Full Name | Jacob Robert Froehle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 1717 S J St, Tacoma, 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 |
|---|---|---|---|
| 1255853495 | NPI | - | NPPES |
| 2210805 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP60782874 (Washington) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 60649007 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Clare Hospital | Lakewood, WA | Hospital |
| Capital Medical Center | Olympia, WA | Hospital |
| St Joseph Medical Center | Tacoma, WA | Hospital |
| St Anthony Hospital | Gig harbor, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Medical Center Specialty Physicians Llc | 2567651771 | 91 |
| Franciscan Medical Group | 0547173866 | 1259 |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Public Hospital District No 1 Of Mason County |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1164650032 PECOS PAC ID: 0345139275 Enrollment ID: O20090921000676 |
| Entity Name | Capital Medical Center Specialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Robert Froehle, CRNA 1717 S J St, Tacoma, WA 98405-4933 Ph: (844) 364-2778 | Jacob Robert Froehle, CRNA 1717 S J St, Tacoma, WA 98405-4933 Ph: (844) 364-2778 |
Michael John Means, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2235 | |
Mr. Andrew J Irizarry, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 330-509-3934 | |
Matthew Libid, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 203-768-5053 | |
Mrs. Elizabeth Katherine Mary Pulatie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 A Reid St, Tacoma, WA 98431 Phone: 253-968-1110 | |
Ms. Lisa Ann Petty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 | |
Mr. Andrey Bobrovnikov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344 | |
Craig Andrew Swank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405 Phone: 253-503-2598 Fax: 253-404-0506 |