| Michael Duane Petty, CRNA | |
|
101 W 8th Ave, Mother Gamelin Center 3rd Floor, Spokane, WA 99204-2307 | |
| (509) 474-2072 | |
| Not Available |
| Full Name | Michael Duane Petty |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 101 W 8th Ave, Spokane, 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 |
|---|---|---|---|
| 1013355817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP60367548 (Washington) | Primary |
| 367H00000X | Anesthesiologist Assistant | AP60367548 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Orthopaedic Specialists Ps | 7113811654 | 83 |
| Entity Name | Northwest Orthopaedic Specialists PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609845825 PECOS PAC ID: 7113811654 Enrollment ID: O20040213000370 |
| Entity Name | Northwest Orthopaedic Specialists PS |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1265401202 PECOS PAC ID: 7113811654 Enrollment ID: O20040521000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Duane Petty, CRNA 101 W 8th Ave, Mother Gamelin Center 3rd Floor, Spokane, WA 99204-2307 Ph: (509) 474-2072 | Michael Duane Petty, CRNA 101 W 8th Ave, Mother Gamelin Center 3rd Floor, Spokane, WA 99204-2307 Ph: (509) 474-2072 |
Chelsea Posenjak, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 |
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 |
Miss Diana Marie Bouge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 |