| Mr Benjamin Wade Bruestle, CRNA | |
|
3325 Pocahontas Rd, Baker City, OR 97814-1464 | |
| (541) 523-1797 | |
| (541) 523-1799 |
| Full Name | Mr Benjamin Wade Bruestle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 3325 Pocahontas Rd, Baker City, Oregon |
| 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 |
|---|---|---|---|
| 1659511970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 004000 (Connecticut) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 10005021 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid Valley Hospital | Omak, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Okanogan County Public Hospital District No. 3 | 6800707951 | 58 |
| Entity Name | Okanogan County Public Hospital District No. 3 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387403 PECOS PAC ID: 6800707951 Enrollment ID: O20040128000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benjamin Wade Bruestle, CRNA 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 302-9342 | Mr Benjamin Wade Bruestle, CRNA 3325 Pocahontas Rd, Baker City, OR 97814-1464 Ph: (541) 523-1797 |
Rebecca Jarnes, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-523-6461 Fax: 541-523-8151 | |
David Eugene Loper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3325 Pocahontas Road, St Elizabeth Health Services, Baker City, OR 97814 Phone: 541-523-8838 Fax: 541-823-8107 |