| Jonathan Entwisle, | |
|
2452 Watson Ct, Palo Alto, CA 94303-3216 | |
| (650) 723-6995 | |
| Not Available |
| Full Name | Jonathan Entwisle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 2452 Watson Ct, Palo Alto, California |
| 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 |
|---|---|---|---|
| 1972934719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-107906 (Alabama) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA95000308 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stanford Health Care | Stanford, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanford Health Care | 6709797491 | 2771 |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Entwisle, 2452 Watson Ct, Palo Alto, CA 94303-3216 Ph: (650) 723-6995 | Jonathan Entwisle, 2452 Watson Ct, Palo Alto, CA 94303-3216 Ph: (650) 723-6995 |
Spencer Wong, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Palo Alto, CA 94305 Phone: 650-723-4000 | |
Amy Liang, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Vincent W Risler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 510-723-4000 | |
Melissa Evangelista, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Palo Alto, CA 94305 Phone: 510-432-4208 | |
Yip Han Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 650-723-4000 |