| Lisa S Grayson, CRNA | |
|
1100 9th Ave, Seattle, WA 98101-2756 | |
| (206) 223-6600 | |
| Not Available |
| Full Name | Lisa S Grayson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1100 9th Ave, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750358255 | NPI | - | NPPES |
| 9617796 | Medicaid | WA | |
| 430059540 | Other | WA | RAIL ROAD MEDICARE |
| GR4213 | Other | WA | INDIVIDUAL BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30005409 (Washington) | Primary |
| 207L00000X | Anesthesiology | RN00107853 (Washington) | Secondary |
| Entity Name | Virginia Mason Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
| Entity Name | Paceline Anesthesia, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417273780 PECOS PAC ID: 5799853099 Enrollment ID: O20081013000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa S Grayson, CRNA 1100 Olive Way, Ms M4 Pa, Seattle, WA 98101-1873 Ph: (206) 515-5811 | Lisa S Grayson, CRNA 1100 9th Ave, Seattle, WA 98101-2756 Ph: (206) 223-6600 |
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: Accepting Medicare Assignments 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 |
Ashlea Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway Ste 270, Seattle, WA 98122 Phone: 206-625-0578 Fax: 206-625-9184 |