Mr Mark R Holmberg, CRNA | |
1100 9th Ave, Seattle, WA 98101-2756 | |
(206) 223-6980 | |
(206) 223-6982 |
Full Name | Mr Mark R Holmberg |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 1100 9th Ave, Seattle, 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 |
---|---|---|---|
1790763233 | NPI | - | NPPES |
5069HO | Other | WA | BLUE SHIELD # |
RNA0011 | Other | WA | ALASKA DSHS |
P00444040 | Other | WA | RAILROAD MC # |
9653981 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R 154503-0 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP30007744 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Virginia Mason Medical Center | Seattle, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Virginia Mason Medical Center | 9830002617 | 834 |
Entity Name | Virginia Mason Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark R Holmberg, CRNA 2415 Western Ave, Apt 503, Seattle, WA 98121-1394 Ph: (612) 741-5259 | Mr Mark R Holmberg, CRNA 1100 9th Ave, Seattle, WA 98101-2756 Ph: (206) 223-6980 |
Timothy D Butterworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Mrs. Sara Beth Maples, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356540, Seattle, WA 98195 Phone: 206-598-4260 | |
Simran Kennedy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359724, Seattle, WA 98104 Phone: 206-744-8491 Fax: 206-744-8009 | |
Michael Mielniczek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Justin R. Howard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Peyton G. Lane, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Vanessa Fernandez, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-624-1144 |