Blaine Fisk, CRNA | |
2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | |
(770) 643-5619 | |
Not Available |
Full Name | Blaine Fisk |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 2655 Northwinds Pkwy, Alpharetta, Georgia |
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 |
---|---|---|---|
1821758202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN60701046 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP61257123 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Valley Medical Center | Caldwell, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Consulting Partners Idaho Pc | 5092164806 | 15 |
West Idaho Anesthesia, Llp | 9133343031 | 13 |
Entity Name | Anesthesiology Consultants Of Treasure Valley Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124066063 PECOS PAC ID: 4981661196 Enrollment ID: O20041220000096 |
Entity Name | West Idaho Anesthesia, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871918318 PECOS PAC ID: 9133343031 Enrollment ID: O20140616001943 |
Entity Name | Anesthesia Consulting Partners Idaho Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568241362 PECOS PAC ID: 5092164806 Enrollment ID: O20231205002846 |
Mailing Address | Practice Location Address |
---|---|
Blaine Fisk, CRNA 1206 Comstock St, Richland, WA 99352-4528 Ph: (208) 741-0447 | Blaine Fisk, CRNA 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 Ph: (770) 643-5619 |
Rae Wood Grimsley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 | |
Joshua A Getzinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 | |
Shelby Pope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 | |
Monica E Burrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Old Milton Pkwy, Alpharetta, GA 30005 Phone: 770-645-9181 Fax: 770-645-8455 | |
Tyrena Burroughs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 | |
Roviena J Royulada-ycu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 | |
Corey Colley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 |