| Mr Benjamin Wade Bruestle, CRNA | |
|
106 Blanca Ave, Alamosa, CO 81101-2340 | |
| (719) 589-2511 | |
| (719) 587-1371 |
| Full Name | Mr Benjamin Wade Bruestle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 106 Blanca Ave, Alamosa, Colorado |
| 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 | 10005021 (Oregon) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 004000 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid Valley Hospital | Omak, WA | Hospital |
| Central Washington Hospital | Wenatchee, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Okanogan County Public Hospital District No. 3 | 6800707951 | 91 |
| 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 106 Blanca Ave, Alamosa, CO 81101-2340 Ph: (719) 589-2511 |
Alan B Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 106 Blanca Ave, Alamosa, CO 81101 Phone: 719-589-2511 Fax: 719-587-1372 | |
Mr. Eric Joseph Weed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 106 Blanca Ave, Alamosa, CO 81101 Phone: 719-589-2511 Fax: 719-587-1372 | |
Aaron D Crowther, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 106 Blanca Ave, Alamosa, CO 81101 Phone: 719-589-2511 Fax: 719-587-1372 |