| Kathleen Lenore Kozak, CRNA | |
|
104 W 5th Ave, Suite 250e, Spokane, WA 99204-4880 | |
| (509) 838-1547 | |
| Not Available |
| Full Name | Kathleen Lenore Kozak |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 104 W 5th Ave, Spokane, 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 |
|---|---|---|---|
| 1326084229 | NPI | - | NPPES |
| 9649591 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | IT0000900 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Holy Family Hospital | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Service- Washington | 0840279758 | 170 |
| Entity Name | Providence Health & Service- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
| Entity Name | Salish Sedation Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457982308 PECOS PAC ID: 6709216757 Enrollment ID: O20200415002767 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Lenore Kozak, CRNA 104 W 5th Ave, Suite 250e, Spokane, WA 99204-4880 Ph: (509) 838-1547 | Kathleen Lenore Kozak, CRNA 104 W 5th Ave, Suite 250e, Spokane, WA 99204-4880 Ph: (509) 838-1547 |
Chelsea Posenjak, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 |
Michael Duane Petty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Mother Gamelin Center 3rd Floor, Spokane, WA 99204 Phone: 509-474-2072 |
Dino Karahodzic, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3181 |
Stephanie De Reza, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 000-000-0000 |
Matthew Ryan Queral, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3181 |
Leah Nicole Triulzi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-473-5800 |
Amber George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3181 Fax: 509-227-7070 |