Blake T Peterson, CRNA | |
406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 | |
(509) 972-1051 | |
(509) 972-4166 |
Full Name | Blake T Peterson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 406 S 30th Ave, Yakima, 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 |
---|---|---|---|
1043561343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP60300423 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Virginia Mason Memorial | Yakima, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yakima Valley Memorial Physicians | 1557391596 | 257 |
Entity Name | Yakima Valley Memorial Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714 |
Mailing Address | Practice Location Address |
---|---|
Blake T Peterson, CRNA 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 Ph: (509) 972-1051 | Blake T Peterson, CRNA 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 Ph: (509) 972-1051 |
Paul E Novak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave, Ste 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Stephanie L Lounsbury-griffin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 406 S 30th Ave, Suite 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Kevin A Leach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406s 30th Ave 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Kaitlyn Elizabeth Knoebel, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 | |
James E Gelatt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 406 S 30th Ave, Ste 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Hollie I Crawford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 S 9th Ave, Yakima, WA 98902 Phone: 509-574-4455 Fax: 509-574-4481 |