Kenneth Gano, CRNA | |
603 S Chestnut St, Ellensburg, WA 98926-3875 | |
(509) 962-9841 | |
Not Available |
Full Name | Kenneth Gano |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 35 Years |
Location | 603 S Chestnut St, Ellensburg, Washington |
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 |
---|---|---|---|
1609949700 | NPI | - | NPPES |
9635418 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP30002572 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kittitas Valley Community Hospital | Ellensburg, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evergreen Anesthesia Associates Llc | 7113284530 | 18 |
Entity Name | Evergreen Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225575996 PECOS PAC ID: 7113284530 Enrollment ID: O20171120002054 |
Entity Name | Kittitas Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427647643 PECOS PAC ID: 4385045137 Enrollment ID: O20210630001754 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Gano, CRNA Po Box 2385, Idaho Falls, ID 83403-2385 Ph: (208) 525-2090 | Kenneth Gano, CRNA 603 S Chestnut St, Ellensburg, WA 98926-3875 Ph: (509) 962-9841 |
Mrs. Dalila Fairchild, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5241 Umptanum Rd, Ellensburg, WA 98926 Phone: 509-899-9083 | |
Mr. Randy Leroy Mcgee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 603 S Chestnut St, Ellensburg, WA 98926 Phone: 509-962-7342 | |
Polly Miller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 603 S Chestnut St, Ellensburg, WA 98926 Phone: 509-962-9841 |