Edward R Winterbottom, CRNA | |
835 Se Bishop Blvd, Pullman, WA 99163-5512 | |
(509) 332-2541 | |
Not Available |
Full Name | Edward R Winterbottom |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 835 Se Bishop Blvd, Pullman, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689784969 | NPI | - | NPPES |
9609629 | Medicaid | WA | |
911603497 | Other | WA | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP30005207 (Washington) | Primary |
Entity Name | Moscow Mountain Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275074486 PECOS PAC ID: 4082981881 Enrollment ID: O20170526001871 |
Mailing Address | Practice Location Address |
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Edward R Winterbottom, CRNA Po Box 487, Pullman, WA 99163-0487 Ph: (509) 332-4051 | Edward R Winterbottom, CRNA 835 Se Bishop Blvd, Pullman, WA 99163-5512 Ph: (509) 332-2541 |
Mr. John Anthony Schirmer, CRNA, NSPM-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 140, Pullman, WA 99163 Phone: 509-336-7725 Fax: 509-538-5919 | |
Kyle James Jennings, CRNA-ARNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 018-633-4564 | |
Corey Dean Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-332-4051 Fax: 509-332-4051 | |
Wesley M Wolcott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-332-2541 | |
Troy Sibbett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-332-2541 | |
Karl G Spens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 820 Sw Center St, Pullman, WA 99163 Phone: 706-717-0563 |