Michael Edward Kientz, CRNA | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 393-4000 | |
Not Available |
Full Name | Michael Edward Kientz |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 401 Bicentennial Way, Santa Rosa, 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 |
---|---|---|---|
1962931105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 724033 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Regional Medical Center Everett | Everett, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paceline Anesthesia, Pllc | 5799853099 | 26 |
Aesthetic Eye Associates Ps | 5991798902 | 12 |
Providence Wa Anesthesia Services, Pc | 9335298884 | 79 |
Entity Name | Aesthetic Eye Associates Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023043445 PECOS PAC ID: 5991798902 Enrollment ID: O20040406000658 |
Entity Name | Paceline Anesthesia, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417273780 PECOS PAC ID: 5799853099 Enrollment ID: O20081013000526 |
Entity Name | Providence Wa Anesthesia Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135 |
Entity Name | Lake Washington Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962935197 PECOS PAC ID: 3678840543 Enrollment ID: O20170524001681 |
Mailing Address | Practice Location Address |
---|---|
Michael Edward Kientz, CRNA 14050 Sosna Way, Guerneville, CA 95446-9590 Ph: (561) 310-8721 | Michael Edward Kientz, CRNA 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 393-4000 |
Delilah Patterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4616 | |
Mr. Dennis Eugene Oliver, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Kaiser Hospital, Santa Rosa, CA 95403 Phone: 707-571-4616 Fax: 707-571-3144 | |
Ramona Jane Chandler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way Dept Of, Santa Rosa, CA 95403 Phone: 707-393-4000 | |
Mr. Gregory Lorne Groeneveld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 170-571-4000 Fax: 707-836-0173 | |
Ms. Indra Johansson-matthews, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Mr. Krishneel Lall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4000 | |
Mrs. Merri Beth Callender, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial, Kaiser, Santa Rosa, CA 95403 Phone: 707-571-4616 |