Mr Gary L Wagner, CRNA | |
16010 E Indiana Ave, Spokane Valley, WA 99216-1813 | |
(509) 928-8040 | |
Not Available |
Full Name | Mr Gary L Wagner |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 40 Years |
Location | 16010 E Indiana Ave, Spokane Valley, 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 |
---|---|---|---|
1699842229 | NPI | - | NPPES |
0124415 | Other | WA | L & I |
9610098 | Medicaid | WA | |
WA5338 | Other | WA | REGENCE |
100378 | Other | WA | L & I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN00094715 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Anesthesia Associates Pllc | 0941112098 | 45 |
Sight Partners Physicians Pc | 6002728532 | 53 |
Entity Name | Sight Partners Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376613075 PECOS PAC ID: 6002728532 Enrollment ID: O20031104000111 |
Entity Name | Valley Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033165097 PECOS PAC ID: 0941112098 Enrollment ID: O20031105000635 |
Mailing Address | Practice Location Address |
---|---|
Mr Gary L Wagner, CRNA 7058 N Madellaine Dr, Coeur D Alene, ID 83815-7108 Ph: (253) 334-3886 | Mr Gary L Wagner, CRNA 16010 E Indiana Ave, Spokane Valley, WA 99216-1813 Ph: (509) 928-8040 |
Lorraine Stockton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1000 N Argonne Rd, Spokane Valley, WA 99212 Phone: 509-534-4300 | |
Leah Crespin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11406 E Fairview Ave, Spokane Valley, WA 99206 Phone: 509-926-1031 | |
Susana Rosen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1000 N Argonne Rd, Spokane Valley, WA 99212 Phone: 509-534-4300 | |
Hillary Jean Shultz, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 18818 E Marlin Dr, Spokane Valley, WA 99027 Phone: 509-215-0473 | |
Mariya Miroshin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1000 N Argonne Rd, Spokane Valley, WA 99212 Phone: 509-534-4300 | |
Emily Noel Balenada, RN60028557 Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12121 E Mission Ave Ste C, Spokane Valley, WA 99206 Phone: 509-443-3102 Fax: 509-474-1792 | |
Kathleen Zwonitzer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10410 E 9th Ave, Spokane Valley, WA 99206 Phone: 509-321-9050 |