Terry Cicero, CRNA is a
Nurse Anesthetist, Certified Registered based in Kirkland, Washington. Terry Cicero is licensed to practice in Washington (license number RN00055726) and his current practice location is
12333 Ne 130th Lane, Suite 500, Kirkland, Washington. He can be reached at his office (for appointments etc.) via phone at
(425) 353-3788.
NPI number for Terry Cicero is 1699875005 and his current mailing address is Po Box 94181, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699875005.
Provider's Profile
| Full Name | Terry Cicero |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 12333 Ne 130th Lane, Kirkland, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699875005
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 11/03/2024
Medical Identifiers
Medical identifiers for Terry Cicero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699875005 | NPI | - | NPPES |
| 9607011 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN00055726 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terry Cicero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Terry Cicero, CRNA
Po Box 94181,
Seattle, WA 98124-6481
Ph: (425) 353-3788 | Terry Cicero, CRNA
12333 Ne 130th Lane, Suite 500,
Kirkland, WA 98034
Ph: (425) 353-3788 |
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