| Nicholai Leon Mathewson, CRNA, MSN | |
|
1015 Nw 22nd Ave, Portland, OR 97210-3025 | |
| (541) 601-0927 | |
| Not Available |
| Full Name | Nicholai Leon Mathewson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 1015 Nw 22nd Ave, Portland, Oregon |
| 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 |
|---|---|---|---|
| 1487291787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95141062 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairchild Medical Center | Yreka, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Siskiyou Hospital Inc | 1254223134 | 62 |
| Entity Name | Siskiyou Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20040927000311 |
| Entity Name | Parish Anesthesia Of California A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790106862 PECOS PAC ID: 0244463925 Enrollment ID: O20140503000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholai Leon Mathewson, CRNA, MSN 412 Verona Ave, Danville, CA 94526-2412 Ph: (541) 601-0927 | Nicholai Leon Mathewson, CRNA, MSN 1015 Nw 22nd Ave, Portland, OR 97210-3025 Ph: (541) 601-0927 |
Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234 | |
Cecilia Bradford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-1111 | |
Trevor Sawyer, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7725 | |
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321 | |
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884 | |
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661 |