Patricia W Vanderwilde, CRNA | |
1414 N Houk Rd, Ste 204, Spokane Valley, WA 99216-1097 | |
(509) 922-0362 | |
(509) 228-9542 |
Full Name | Patricia W Vanderwilde |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 1414 N Houk Rd, Spokane Valley, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689635567 | NPI | - | NPPES |
9639071 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP30006179 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Services Of Arizona Pc | 6608247374 | 49 |
Entity Name | Anesthesia Services Of Arizona Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336857085 PECOS PAC ID: 6608247374 Enrollment ID: O20230118000286 |
Mailing Address | Practice Location Address |
---|---|
Patricia W Vanderwilde, CRNA Po Box 94645, Seattle, WA 98124-6945 Ph: (509) 474-3181 | Patricia W Vanderwilde, CRNA 1414 N Houk Rd, Ste 204, Spokane Valley, WA 99216-1097 Ph: (509) 922-0362 |
Kelly E Moens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12606 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-838-6709 Fax: 509-835-4058 | |
Mr. Lyle Edgar Gates Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12606 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-473-5723 | |
Theodore W Bogsrud, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16818 E Desmet Ct, Spokane Valley, WA 99216 Phone: 509-456-5380 Fax: 509-456-5381 | |
Steven W Beckstrom, CRNA, MAE Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12509 E Mission Ave, Ste 101, Spokane Valley, WA 99216 Phone: 509-928-3600 Fax: 509-922-7244 | |
Mrs. Maryann Frandsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1414 N Houk Rd, Ste 204, Spokane Valley, WA 99216 Phone: 509-922-0362 Fax: 509-228-9542 | |
Mr. Brian John Engel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16818 E Desmet Ct, Spokane Valley, WA 99216 Phone: 509-456-5380 | |
Ellen E Halley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1414 N Houk Rd, Suite 204, Spokane Valley, WA 99216 Phone: 509-922-0362 Fax: 509-228-9542 |