Shane B Merrill, CRNA | |
625 9th Ave, Longview, WA 98632-2464 | |
(360) 442-7900 | |
Not Available |
Full Name | Shane B Merrill |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 625 9th Ave, Longview, 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 |
---|---|---|---|
1487959508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | SRA100020 (Colorado) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP60510081 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Longview Anesthesiology Group, Pc | 0749177756 | 3 |
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Entity Name | Columbia Anesthesia Group P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861448235 PECOS PAC ID: 8426954322 Enrollment ID: O20031211000035 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Entity Name | Longview Anesthesiology Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003894957 PECOS PAC ID: 0749177756 Enrollment ID: O20040303001054 |
Mailing Address | Practice Location Address |
---|---|
Shane B Merrill, CRNA 625 9th Ave, Longview, WA 98632-2464 Ph: (360) 501-3449 | Shane B Merrill, CRNA 625 9th Ave, Longview, WA 98632-2464 Ph: (360) 442-7900 |
Peter J Leyzac, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Brock J Amos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638 | |
Lee Bendickson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638 | |
Jesse I Broome, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Megan Marie Schill, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638 | |
Edgar Foisy, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 |