| Willie D Ivey, CRNA | |
|
601 W 5th Ave, Suite 500, Spokane, WA 99204-2756 | |
| (509) 344-2663 | |
| (509) 624-9179 |
| Full Name | Willie D Ivey |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 601 W 5th Ave, Spokane, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093784183 | NPI | - | NPPES |
| 806459700 | Medicaid | ID | |
| 0185166 | Other | WA | DEPT OF LABOR & INDUSTRIE |
| 4303910 | Medicaid | MT | |
| 192439200 | Other | WA | OWCP |
| 8938961 | Other | WA | CRIME VICTIMS |
| 28403 | Other | WA | GROUP HEALTH NW |
| 2855IV | Other | WA | ASURIS NW HEALTH |
| P00126952 | Other | WA | RR MEDICARE |
| 000010147505 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 9634601 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN00144573 (Washington) | Primary |
| Entity Name | Pend Oreille County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427264795 PECOS PAC ID: 3274431184 Enrollment ID: O20031230000017 |
| Entity Name | Northwest Orthopaedic Specialists Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609845825 PECOS PAC ID: 7113811654 Enrollment ID: O20040213000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Willie D Ivey, CRNA 601 W 5th Ave Ste 400, Spokane, WA 99204-2715 Ph: (509) 344-2663 | Willie D Ivey, CRNA 601 W 5th Ave, Suite 500, Spokane, WA 99204-2756 Ph: (509) 344-2663 |
Chelsea Posenjak, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 | |
Leah Nicole Triulzi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-473-5800 | |
Amber George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3181 Fax: 509-227-7070 | |
Miss Diana Marie Bouge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 | |
Douglas G Demmert, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 842 S Cowley St, Ste 3, Spokane, WA 99202 Phone: 509-939-3483 Fax: 509-228-9542 | |
Krista Hillary Baca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 104 W 5th Ave, Suite 250e, Spokane, WA 99204 Phone: 509-838-1547 Fax: 509-835-4058 | |
Mrs. Karli Meehan, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-458-5800 |