| Sheridan D Klinger, CRNA | |
|
900 Sunset Dr, La Grande, OR 97850-1362 | |
| (541) 963-1401 | |
| (541) 963-1502 |
| Full Name | Sheridan D Klinger |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 900 Sunset Dr, La Grande, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871563296 | NPI | - | NPPES |
| 809486 | Medicaid | AZ | |
| T1110 | Medicaid | UT | |
| 52274756 | Medicaid | NM | |
| 65157346 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 200760012CRNA (Oregon) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA00769 (New Mexico) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kittitas Valley Community Hospital | Ellensburg, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Four Corners Anesthesia, P.a. | 6608762950 | 7 |
| Evergreen Anesthesia Associates Llc | 7113284530 | 23 |
| Entity Name | Four Corners Anesthesia, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093758831 PECOS PAC ID: 6608762950 Enrollment ID: O20040224001194 |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan D Klinger, CRNA 900 Sunset Dr, La Grande, OR 97850-1362 Ph: (541) 963-1401 | Sheridan D Klinger, CRNA 900 Sunset Dr, La Grande, OR 97850-1362 Ph: (541) 963-1401 |
Zachary Michael Jacobsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421 | |
Bradley Robert Close, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421 Fax: 541-963-1476 |