Mr John E Buonora, CRNA | |
9040 Jackson Ave, Tacoma, WA 98431-4933 | |
(253) 968-0554 | |
(253) 986-3278 |
Full Name | Mr John E Buonora |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 9040 Jackson Ave, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356345185 | NPI | - | NPPES |
2141668 | Medicaid | WA | |
43388700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 133435-030 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP60879305 (Washington) | Primary |
Entity Name | Franciscan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
Mailing Address | Practice Location Address |
---|---|
Mr John E Buonora, CRNA 10901 102nd Ave Sw, Lakewood, WA 98498-2909 Ph: (240) 429-8870 | Mr John E Buonora, CRNA 9040 Jackson Ave, Tacoma, WA 98431-4933 Ph: (253) 968-0554 |
Michael John Means, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2235 | |
Mr. Andrew J Irizarry, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 330-509-3934 | |
Matthew Libid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 203-768-5053 | |
Mrs. Elizabeth Katherine Mary Pulatie, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 A Reid St, Tacoma, WA 98431 Phone: 253-968-1110 | |
Ms. Lisa Ann Petty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 | |
Mr. Andrey Bobrovnikov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344 | |
Craig Andrew Swank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405 Phone: 253-503-2598 Fax: 253-404-0506 |