Mr Stuart Mitchell Godwin, CRNA | |
9040 Jackson Ave, Tacoma, WA 98431-0001 | |
(253) 968-2235 | |
Not Available |
Full Name | Mr Stuart Mitchell Godwin |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 9040 Jackson Ave, Tacoma, 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 |
---|---|---|---|
1336471267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 700881 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 60330629 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center | Galesburg, IL | Hospital |
Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Mr Stuart Mitchell Godwin, CRNA 4301 Wilson Street, Attn: Mcua-qm (credentials), Ft Sill, OK 73503 Ph: (580) 558-2134 | Mr Stuart Mitchell Godwin, CRNA 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 968-2235 |
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 |