| Mr Mark Andreyevich Bobrovnikov, CRNA | |
|
914 S Scheuber Rd, Centralia, WA 98531-9027 | |
| (360) 736-2803 | |
| Not Available |
| Full Name | Mr Mark Andreyevich Bobrovnikov |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 914 S Scheuber Rd, Centralia, 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 |
|---|---|---|---|
| 1962129775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP70080711 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Centralia Hospital | Centralia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Northwest Llc | 7618908484 | 80 |
| Entity Name | Anesthesia Associates Northwest LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20161115001177 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Andreyevich Bobrovnikov, CRNA 6400 Se Lake Rd Ste 300, Portland, OR 97222-2129 Ph: (503) 594-1774 | Mr Mark Andreyevich Bobrovnikov, CRNA 914 S Scheuber Rd, Centralia, WA 98531-9027 Ph: (360) 736-2803 |
Mr. Archibald Nyamekye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, WA 98531 Phone: 360-736-2803 |
Theodore Russell Gavel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, WA 98531 Phone: 360-736-2803 |
Donna Pauley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1820 Cooks Hill Rd., Centralia, WA 98531 Phone: 360-943-8470 |
Andrew J Maasdam, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-2803 |
Mr. Mikhail Pavlovich Nekhamis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, WA 98531 Phone: 360-330-8501 Fax: 360-330-8690 |
Fredrick L Masters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-2803 Fax: 360-330-8970 |