| Jeudiel R Puente, CRNA | |
|
1959 Ne Pacific St, Seattle, WA 98195-0001 | |
| (206) 598-4260 | |
| (206) 598-8812 |
| Full Name | Jeudiel R Puente |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1959 Ne Pacific St, Seattle, 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 |
|---|---|---|---|
| 1699737395 | NPI | - | NPPES |
| 9642901 | Medicaid | WA | |
| 8939758 | Other | WA | L & I CRIME VICTIMS |
| 0191489 | Other | WA | LABOR & INDUSTRY |
| 62103U | Other | WA | REGENCE BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN00156597 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP30006800 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Washington Medical Ctr | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Association Of University Physicians | 0446162697 | 3327 |
| Entity Name | The Association Of University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeudiel R Puente, CRNA 26323 Ne 25th St, Redmond, WA 98053-9081 Ph: (425) 213-9915 | Jeudiel R Puente, CRNA 1959 Ne Pacific St, Seattle, WA 98195-0001 Ph: (206) 598-4260 |
Timothy D Butterworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Mrs. Sara Beth Maples, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356540, Seattle, WA 98195 Phone: 206-598-4260 | |
Simran Kennedy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359724, Seattle, WA 98104 Phone: 206-744-8491 Fax: 206-744-8009 | |
Michael Mielniczek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Justin R. Howard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Peyton G. Lane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Vanessa Fernandez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-624-1144 |