Michael Ikeda-chandler, | |
1700 13th St, Everett, WA 98201-1689 | |
(252) 612-0004 | |
Not Available |
Full Name | Michael Ikeda-chandler |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1700 13th St, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063193274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 60717548 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP61485496 (Washington) | Primary |
Entity Name | Providence Wa Anesthesia Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135 |
Mailing Address | Practice Location Address |
---|---|
Michael Ikeda-chandler, 13000 Admiralty Way Apt K202, Everett, WA 98204-6274 Ph: (662) 832-0276 | Michael Ikeda-chandler, 1700 13th St, Everett, WA 98201-1689 Ph: (252) 612-0004 |
Adam Nicholas Myers, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 | |
Edward R Bauer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Mr. Randy R. Graybeal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 Fax: 425-261-4462 | |
Eileen Mary Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1700 13th St, Everett, WA 98201 Phone: 917-370-6104 | |
Mr. Raymond F. O'keefe Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 Fax: 425-261-4462 | |
Mr. Jonathan Lee Pinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 | |
My Le, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 |