| Mr Todd A Erickson, CRNA | |
|
834 Sheridan St, Port Townsend, WA 98368-2443 | |
| (360) 385-2200 | |
| (360) 379-2250 |
| Full Name | Mr Todd A Erickson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 834 Sheridan St, Port Townsend, 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 |
|---|---|---|---|
| 1952455503 | NPI | - | NPPES |
| 24081U | Other | WA | REGENCE PIN |
| 9651969 | Medicaid | WA | |
| 0217755 | Other | WA | L&I PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30007642 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Healthcare | Port townsend, WA | Hospital |
| Harrison Medical Center | Bremerton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olympic Anesthesia Services, Inc | 4587551064 | 31 |
| Jefferson County Public Hospital District No 2 | 4789593708 | 104 |
| Entity Name | Jefferson County Public Hospital District No 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356492953 PECOS PAC ID: 4789593708 Enrollment ID: O20031111000542 |
| Entity Name | Olympic Anesthesia Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586125 PECOS PAC ID: 4587551064 Enrollment ID: O20040301000362 |
| Entity Name | Jefferson County Public Hospital District No 2 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356492953 PECOS PAC ID: 4789593708 Enrollment ID: O20080304000166 |
| 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 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201002002223 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Todd A Erickson, CRNA 8023 Ne Hidden Cove Rd, Bainbridge Island, WA 98110-1198 Ph: (206) 769-2077 | Mr Todd A Erickson, CRNA 834 Sheridan St, Port Townsend, WA 98368-2443 Ph: (360) 385-2200 |
Patricia L Stanwood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 Fax: 360-379-2242 | |
Maria Packard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 | |
Kory M Albert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 | |
Matthew D. Petta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 628 Madison St, Port Townsend, WA 98368 Phone: 402-990-0733 | |
Brad T Walker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 | |
Colum Patrick Tinley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 |