Mr Donald H Conrad Jr, CRNA | |
3927 Rucker Ave, Everett, WA 98201-4833 | |
(425) 259-0966 | |
Not Available |
Full Name | Mr Donald H Conrad Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 28 Years |
Location | 3927 Rucker Ave, Everett, 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 |
---|---|---|---|
1720191406 | NPI | - | NPPES |
9635335 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP30004854 (Washington) | Primary |
163W00000X | Registered Nurse | RN00123757 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Regional Medical Center Everett | Everett, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Wa Anesthesia Services, Pc | 9335298884 | 79 |
Entity Name | Optum Care Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Donald H Conrad Jr, CRNA Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Mr Donald H Conrad Jr, CRNA 3927 Rucker Ave, Everett, WA 98201-4833 Ph: (425) 259-0966 |
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 | |
Joshua Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 |