Susan Lynn Chesley, CRNA | |
1615 Delaware St, Longview, WA 98632-2310 | |
(360) 636-4878 | |
(360) 414-7457 |
Full Name | Susan Lynn Chesley |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1615 Delaware St, Longview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417987975 | NPI | - | NPPES |
8943330 | Other | WA | CRIME VICTIMS |
200428 | Other | WA | LABOR & IND. |
299804 | Medicaid | OR | |
9639105 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN00148452 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP30006417 (Washington) | Primary |
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Mailing Address | Practice Location Address |
---|---|
Susan Lynn Chesley, CRNA Po Box 3002, Longview, WA 98632-0302 Ph: (360) 414-2048 | Susan Lynn Chesley, CRNA 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 636-4878 |
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 | |
Shane B Merrill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Longview, WA 98632 Phone: 360-442-7900 | |
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 |