| Theodore W Bogsrud, CRNA | |
|
16818 E Desmet Ct, Spokane Valley, WA 99216-3542 | |
| (509) 456-5380 | |
| (509) 456-5381 |
| Full Name | Theodore W Bogsrud |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 39 Years |
| Location | 16818 E Desmet Ct, Spokane Valley, 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 |
|---|---|---|---|
| 1215968961 | NPI | - | NPPES |
| 430044217 | Other | WA | RAILROAD MEDICARE |
| 9630542 | Medicaid | WA | |
| 430061770 | Other | WA | RAILROAD MEDICARE |
| P00335315 | Other | MT | RAILROAD MEDICARE |
| 430048398 | Other | WA | RAILROAD MEDICARE |
| M011002649 | Other | MT | MEDICARE MT |
| 1204355 | Other | ID | MEDICARE ID |
| 430062516 | Other | ID | RAILROAD MEDICARE |
| NM302933 | Other | NM | MEDICARE NM |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Cataract And Laser Institute Inc Pc | 7517864119 | 76 |
| Pacific Cataract And Laser Institute Inc Pc | 7517864119 | 76 |
| Pacific Cataract And Laser Institute Inc Pc | 7517864119 | 76 |
| Entity Name | Pacific Cataract And Laser Institute Inc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306013925 PECOS PAC ID: 7517864119 Enrollment ID: O20040213000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore W Bogsrud, CRNA 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 Ph: (360) 242-3008 | Theodore W Bogsrud, CRNA 16818 E Desmet Ct, Spokane Valley, WA 99216-3542 Ph: (509) 456-5380 |
Kelly E Moens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12606 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-838-6709 Fax: 509-835-4058 | |
Mr. Lyle Edgar Gates Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12606 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-473-5723 | |
Steven W Beckstrom, CRNA, MAE Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12509 E Mission Ave, Ste 101, Spokane Valley, WA 99216 Phone: 509-928-3600 Fax: 509-922-7244 | |
Mrs. Maryann Frandsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1414 N Houk Rd, Ste 204, Spokane Valley, WA 99216 Phone: 509-922-0362 Fax: 509-228-9542 | |
Mr. Brian John Engel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16818 E Desmet Ct, Spokane Valley, WA 99216 Phone: 509-456-5380 | |
Daryl V Reames, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12606 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-473-5484 |