| Katie Elliott, | |
|
3043 Ne 28th St, Lincoln City, OR 97367-4518 | |
| (541) 994-3661 | |
| Not Available |
| Full Name | Katie Elliott |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 3043 Ne 28th St, Lincoln City, Oregon |
| 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 |
|---|---|---|---|
| 1346769510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 202214341CRNA (Oregon) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 42473 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan North Lincoln Hospital | Lincoln city, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Samaritan North Lincoln Hospital | 7911816301 | 40 |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
| Entity Name | Good Samaritan Hospital Corvallis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163 |
| Entity Name | Samaritan North Lincoln Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20040120000329 |
| Entity Name | Santiam Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154302214 PECOS PAC ID: 6103729751 Enrollment ID: O20040130000239 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
| Entity Name | Albany General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
| Entity Name | Samaritan North Lincoln Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20061104000117 |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Elliott, Po Box 1194, Corvallis, OR 97339-1194 Ph: () - | Katie Elliott, 3043 Ne 28th St, Lincoln City, OR 97367-4518 Ph: (541) 994-3661 |
Mr. Devon D Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-994-3661 | |
Paul S. Palmer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-996-7152 Fax: 541-996-7120 |