Gina Lynn Wald, CRNA | |
1615 Delaware St, Longview, WA 98632-2310 | |
(360) 414-2048 | |
(360) 575-6749 |
Full Name | Gina Lynn Wald |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 1615 Delaware St, Longview, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881717866 | NPI | - | NPPES |
0223024 | Other | WA | LABOR & INDUSTRIES |
RN597396 | Other | CA | RN LICENSE # |
8944886 | Other | WA | CRIME VICTIMS |
RN00170658 | Other | WA | WA RN LICENSE |
9653361 | Medicaid | WA | |
AP30007691 | Other | WA | WA ARNP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN00170658 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth St John Medical Center | Longview, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth | 5890689293 | 180 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Mailing Address | Practice Location Address |
---|---|
Gina Lynn Wald, CRNA Po Box 249, Longview, WA 98632-7154 Ph: (360) 414-2048 | Gina Lynn Wald, CRNA 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 414-2048 |
Peter J Leyzac, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Brock J Amos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638 | |
Lee Bendickson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638 | |
Shane B Merrill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Longview, WA 98632 Phone: 360-442-7900 | |
Jesse I Broome, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Megan Marie Schill, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638 | |
Edgar Foisy, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 |