Jonathan Entwisle, | |
2452 Watson Ct, Palo Alto, CA 94303-3216 | |
(650) 723-6995 | |
Not Available |
Full Name | Jonathan Entwisle |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 2452 Watson Ct, Palo Alto, California |
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 |
---|---|---|---|
1972934719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-107906 (Alabama) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA95000308 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stanford Health Care | Stanford, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stanford Health Care | 6709797491 | 2579 |
Entity Name | Stanford Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Entwisle, 2452 Watson Ct, Palo Alto, CA 94303-3216 Ph: (650) 723-6995 | Jonathan Entwisle, 2452 Watson Ct, Palo Alto, CA 94303-3216 Ph: (650) 723-6995 |
Amy Liang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Vincent W Risler, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 510-723-4000 | |
Melissa Evangelista, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Palo Alto, CA 94305 Phone: 510-432-4208 |