Mr Timothy Joseph Riley, CRNA | |
11511 Ne 10th St, Bellevue, WA 98004-8578 | |
(425) 502-3000 | |
(425) 502-3589 |
Full Name | Mr Timothy Joseph Riley |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 11511 Ne 10th St, Bellevue, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093994006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN253366 (Massachusetts) | Primary |
Entity Name | Anesthesia Medical Group Of Imperial Valley Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487087136 PECOS PAC ID: 9335379775 Enrollment ID: O20140303001946 |
Mailing Address | Practice Location Address |
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Mr Timothy Joseph Riley, CRNA 243 Charles St, Boston, MA 02114-3002 Ph: (617) 573-3380 | Mr Timothy Joseph Riley, CRNA 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000 |
Ajaz Bashir Sheikh, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1135 16th Ave Ne, Suite 570, Bellevue, WA 98004 Phone: 425-454-4768 Fax: 425-462-8021 | |
Mrs. Jennifer Ross Tanguay, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4564 Somerset Blvd Se, Bellevue, WA 98006 Phone: 817-908-7161 | |
Sharon Marie Amaya Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 227 Bellevue Way Ne # 188, Bellevue, WA 98004 Phone: 888-337-3509 Fax: 866-472-1356 | |
Ms. Mandalyn Musselman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589 | |
Dr. Katherine Christine Kuhlmann, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 844-620-1839 | |
Bradley Allen Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589 |