| Timothy A Kelly, CRNA | |
|
900 S Auburn St, Kennewick, WA 99336-5621 | |
| (509) 586-5840 | |
| Not Available |
| Full Name | Timothy A Kelly |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 900 S Auburn St, Kennewick, 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 |
|---|---|---|---|
| 1942244579 | NPI | - | NPPES |
| 262830 | Medicaid | OR | |
| 9616996 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN00100988 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP30003834 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Specialty Hospital | Post falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River City Anesthesia Associates Pllc | 4385534445 | 17 |
| Entity Name | River City Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114908993 PECOS PAC ID: 4385534445 Enrollment ID: O20040319001270 |
| Entity Name | Overton/stiff Professional Anesthesia Service Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417065152 PECOS PAC ID: 6901793975 Enrollment ID: O20040507001312 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy A Kelly, CRNA Po Box 34940, Seattle, WA 98124-1940 Ph: (503) 372-2740 | Timothy A Kelly, CRNA 900 S Auburn St, Kennewick, WA 99336-5621 Ph: (509) 586-5840 |
Kristopher Michael Jennings, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-7000 | |
Pacifique Ishimwe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-7000 | |
Rona Deseree Bouzarth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7501 W Deschutes Pl Ste B, Kennewick, WA 99336 Phone: 785-764-9709 | |
Patricia L Gump, MD Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 317 N Delaware St, Kennewick, WA 99336 Phone: 509-736-5550 Fax: 509-737-8281 | |
William Lee Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6695 W Rio Grande Ave, Kennewick, WA 99336 Phone: 509-736-0826 Fax: 509-735-6868 | |
Loren K Copeland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6703 W Rio Grande Ave, Kennewick, WA 99336 Phone: 509-460-5588 Fax: 509-783-5438 | |
Joseph Raphael Stover, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-7000 |