| Mr Nathan Vanvickle, CRNA | |
|
888 Swift Blvd, Richland, WA 99352-3514 | |
| (541) 910-3878 | |
| Not Available |
| Full Name | Mr Nathan Vanvickle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 888 Swift Blvd, Richland, 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 |
|---|---|---|---|
| 1922432970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 201391621RN (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60634596 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olympia Multi Specialty Clinic | 4789571092 | 18 |
| Entity Name | Prosser Public Hospital District Of Benton County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306897681 PECOS PAC ID: 6709787872 Enrollment ID: O20040120000974 |
| Entity Name | Olympia Multi Specialty Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356386783 PECOS PAC ID: 4789571092 Enrollment ID: O20040302000502 |
| Entity Name | Prosser Public Hospital District Of Benton County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306897681 PECOS PAC ID: 6709787872 Enrollment ID: O20060317000302 |
| Entity Name | Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013940253 PECOS PAC ID: 4880699172 Enrollment ID: O20060920000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nathan Vanvickle, CRNA 6612 Opal Ct, West Richland, WA 99353-7961 Ph: (541) 910-3878 | Mr Nathan Vanvickle, CRNA 888 Swift Blvd, Richland, WA 99352-3514 Ph: (541) 910-3878 |
Conor Paul Livingston, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 | |
Jacob D Boston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 770-643-5619 | |
Dr. Marina Cuk, DNP/CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 | |
Dr. Orisley Franch De Armas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 |