Calvin Mulyadi, CRNA - Medicare Nurse Anesthetist, Certified Registered in Seattle, WA

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Calvin Mulyadi, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Seattle, Washington. His current practice location is 1100 9th Ave, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 223-6980.

Calvin Mulyadi is licensed to practice in Washington (license number AP61559160) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134897317.

Contact Information

Calvin Mulyadi, CRNA
1100 9th Ave,
Seattle, WA 98101-2756
(206) 223-6980
(206) 223-6982

Map and Direction




Provider's Profile

Full NameCalvin Mulyadi
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1100 9th Ave, Seattle, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134897317
  • Provider Enumeration Date: 09/01/2021
  • Last Update Date: 09/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214479427
  • Enrollment ID: I20240603004206

Medical Identifiers

Medical identifiers for Calvin Mulyadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134897317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 1-183227 (Alabama)Secondary
367500000XNurse Anesthetist, Certified Registered AP61559160 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Calvin Mulyadi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Calvin Mulyadi, CRNA
1100 9th Ave,
Seattle, WA 98101-2756

Ph: (206) 223-6980		Calvin Mulyadi, CRNA
1100 9th Ave,
Seattle, WA 98101-2756

Ph: (206) 223-6980

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Seattle, WA

Timothy D Butterworth, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 325 9th Ave, Seattle, WA 98104
Phone: 206-520-5000    
Mrs. Sara Beth Maples, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1959 Ne Pacific St, Box 356540, Seattle, WA 98195
Phone: 206-598-4260    
Simran Kennedy, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 325 9th Ave, Box 359724, Seattle, WA 98104
Phone: 206-744-8491    Fax: 206-744-8009
Michael Mielniczek, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1959 Ne Pacific St, Seattle, WA 98195
Phone: 206-520-5000    
Justin R. Howard,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1959 Ne Pacific St, Seattle, WA 98195
Phone: 206-520-5000    
Peyton G. Lane, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 325 9th Ave, Seattle, WA 98104
Phone: 206-520-5000    
Vanessa Fernandez,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1100 9th Ave, Seattle, WA 98101
Phone: 206-624-1144    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.