Theodore Russell Gavel, CRNA - Medicare Nurse Anesthetist, Certified Registered in Centralia, WA

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Theodore Russell Gavel, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Centralia, Washington. His current practice location is 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 736-2803.

Theodore Russell Gavel is licensed to practice in Washington (license number AP60443744) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134448996.

Contact Information

Theodore Russell Gavel, CRNA
914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology,
Centralia, WA 98531-9027
(360) 736-2803
Not Available

Map and Direction




Provider's Profile

Full NameTheodore Russell Gavel
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location914 S Scheuber Rd, Centralia, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134448996
  • Provider Enumeration Date: 05/19/2010
  • Last Update Date: 05/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7810029337
  • Enrollment ID: I20140602000635

Medical Identifiers

Medical identifiers for Theodore Russell Gavel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134448996NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN584062 (Pennsylvania)Secondary
367500000XNurse Anesthetist, Certified Registered AP60443744 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theodore Russell Gavel allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028
Entity NameColumbia Anesthesia Group P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861448235
PECOS PAC ID: 8426954322
Enrollment ID: O20031211000035
Entity NamePacific County Hospital District 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295708683
PECOS PAC ID: 8224939301
Enrollment ID: O20040120000991
Entity NamePublic Hospital District 3 Of Pacific County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295771376
PECOS PAC ID: 7214822105
Enrollment ID: O20040219000157
Entity NamePremier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013940253
PECOS PAC ID: 4880699172
Enrollment ID: O20060920000047
Entity NameOregon Anesthesiology Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477527786
PECOS PAC ID: 3476451659
Enrollment ID: O20231116003035

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Russell Gavel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theodore Russell Gavel, CRNA
Po Box 3360,
Portland, OR 97208-3360

Ph: (866) 747-2455		Theodore Russell Gavel, CRNA
914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology,
Centralia, WA 98531-9027

Ph: (360) 736-2803

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Centralia, WA

Mr. Archibald Nyamekye, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, WA 98531
Phone: 360-736-2803    
Donna Pauley, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1820 Cooks Hill Rd., Centralia, WA 98531
Phone: 360-943-8470    
Andrew J Maasdam, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 914 S Scheuber Rd, Centralia, WA 98531
Phone: 360-736-2803    
Mr. Mikhail Pavlovich Nekhamis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, WA 98531
Phone: 360-330-8501    Fax: 360-330-8690
Fredrick L Masters, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 914 S Scheuber Rd, Centralia, WA 98531
Phone: 360-736-2803    Fax: 360-330-8970

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.