Mr Bryon Anthony Clough, in Seattle, WA - Medicare Nurse Anesthetist, Certified Registered

Mr Bryon Anthony Clough, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Seattle, Washington. His current practice location is 1100 9th Ave, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 223-6600.

Mr Bryon Anthony Clough is licensed to practice in Washington (license number AP61004259) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154974129.

Contact Information

	Mr Bryon Anthony Clough,
	1100 9th Ave, Seattle, WA 98101-2756
	(206) 223-6600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Bryon Anthony Clough
Gender	Male
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.

NPI Data:

NPI Number: 1154974129
Provider Enumeration Date: 07/18/2019
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 0345672028
Enrollment ID: I20201207001698

Medical Identifiers

Medical identifiers for Mr Bryon Anthony Clough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154974129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	60850422 (Washington)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP61004259 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Bryon Anthony Clough allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bryon Anthony Clough is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Bryon Anthony Clough, 1100 9th Ave, M4-pfs, Seattle, WA 98101-2756 Ph: (206) 515-5811	Mr Bryon Anthony Clough, 1100 9th Ave, Seattle, WA 98101-2756 Ph: (206) 223-6600

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Seattle, WA

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: Not Enrolled in Medicare 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
Vanessa Fernandez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-624-1144

Mr Bryon Anthony Clough, - Medicare Nurse Anesthetist, Certified Registered in Seattle, WA