| Mr Michael Rein Ise Jr, CRNA | |
|
990 Sylvan Way, Bremerton, WA 98310-2851 | |
| (360) 479-3657 | |
| Not Available |
| Full Name | Mr Michael Rein Ise Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 990 Sylvan Way, Bremerton, 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 |
|---|---|---|---|
| 1952813297 | NPI | - | NPPES |
| 2121492 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 14-140939-062 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60894656 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willamette Valley Medical Center | Mcminnville, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Northwest Llc | 7618908484 | 86 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| 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: O20050822001459 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Rein Ise Jr, CRNA 990 Sylvan Way, Bremerton, WA 98310-2851 Ph: (360) 479-3657 | Mr Michael Rein Ise Jr, CRNA 990 Sylvan Way, Bremerton, WA 98310-2851 Ph: (360) 479-3657 |
Kevin L Wheelock, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 711 Shore Dr, Bremerton, WA 98310 Phone: 360-377-2738 | |
Mr. David John Bobiak, ARNP/CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 990 Sylvan Way, Bremerton, WA 98310 Phone: 360-479-3657 Fax: 360-373-7616 | |
Dr. Jason D Balazs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4510 | |
Mark Thomas Sebald, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 713-614-3078 | |
Dr. Roger G Cason, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 910-450-3326 | |
James Russell Birkla, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4750 | |
Megan Luther, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Sylvan Way Ste 101, Bremerton, WA 98310 Phone: 360-479-3657 |