| Mr Randy R Graybeal, CRNA | |
|
1321 Colby Ave, Everett, WA 98201-1665 | |
| (425) 261-2000 | |
| (425) 261-4462 |
| Full Name | Mr Randy R Graybeal |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1321 Colby Ave, Everett, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023041845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30007983 (Washington) | Primary |
| 163W00000X | Registered Nurse | RN00134535 (Washington) | Secondary |
| Entity Name | Virginia Mason Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
| Entity Name | Providence Wa Anesthesia Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randy R Graybeal, CRNA 1336 N 78th St, Seattle, WA 98103-4844 Ph: (206) 390-3146 | Mr Randy R Graybeal, CRNA 1321 Colby Ave, Everett, WA 98201-1665 Ph: (425) 261-2000 |
Edward R Bauer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Eileen Mary Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 917-370-6104 | |
Mr. Jonathan Lee Pinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 | |
My Le, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 | |
Joshua Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 | |
Daniel Carnahan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 |