Daniel Forrest Slack, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Port Angeles, Washington. His current practice location is
939 Caroline St, Port Angeles, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 417-7711.
Daniel Forrest Slack is licensed to practice in Washington (license number AP60651342) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780098442.
Provider's Profile
Full Name | Daniel Forrest Slack |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 939 Caroline St, Port Angeles, Washington |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Daniel Forrest Slack attended and graduated from in
NPI Data:
- NPI Number: 1780098442
- Provider Enumeration Date: 06/20/2014
- Last Update Date: 07/14/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Daniel Forrest Slack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780098442 | NPI | - | NPPES |
2093758 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 6134-33 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 201606815CRNA-P (Oregon) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 64001 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 712720 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP60651342 (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. Daniel Forrest Slack 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 Address | Practice Location Address |
Daniel Forrest Slack, CRNA 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Daniel Forrest Slack, CRNA 939 Caroline St, Port Angeles, WA 98362-3909 Ph: (360) 417-7711 |
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