Mr Benjamin Wade Bruestle, CRNA | |
3325 Pocahontas Rd, Baker City, OR 97814-1464 | |
(541) 523-1797 | |
(541) 523-1799 |
Full Name | Mr Benjamin Wade Bruestle |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 3325 Pocahontas Rd, Baker City, Oregon |
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 |
---|---|---|---|
1659511970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 004000 (Connecticut) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 10005021 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grande Ronde Hospital Inc | 0547170789 | 69 |
Saint Alphonsus Medical Center Baker City Inc | 4981732518 | 8 |
Entity Name | Grande Ronde Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
Entity Name | Harney District Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20040528000077 |
Entity Name | Grande Ronde Hospital Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
Entity Name | Harney District Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20061104000508 |
Entity Name | Saint Alphonsus Medical Center Baker City Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881726206 PECOS PAC ID: 4981732518 Enrollment ID: O20100618000209 |
Entity Name | Cep America - Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235842196 PECOS PAC ID: 3678897915 Enrollment ID: O20230406000262 |
Mailing Address | Practice Location Address |
---|---|
Mr Benjamin Wade Bruestle, CRNA 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 302-9342 | Mr Benjamin Wade Bruestle, CRNA 3325 Pocahontas Rd, Baker City, OR 97814-1464 Ph: (541) 523-1797 |
Rebecca Jarnes, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-523-6461 Fax: 541-523-8151 | |
David Eugene Loper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3325 Pocahontas Road, St Elizabeth Health Services, Baker City, OR 97814 Phone: 541-523-8838 Fax: 541-823-8107 |