Willie D Ivey, CRNA | |
601 W 5th Ave, Suite 500, Spokane, WA 99204-2756 | |
(509) 344-2663 | |
(509) 624-9179 |
Full Name | Willie D Ivey |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 601 W 5th Ave, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093784183 | NPI | - | NPPES |
0185166 | Other | WA | DEPT OF LABOR & INDUSTRIE |
28403 | Other | WA | GROUP HEALTH NW |
9634601 | Medicaid | WA | |
2855IV | Other | WA | ASURIS NW HEALTH |
8938961 | Other | WA | CRIME VICTIMS |
4303910 | Medicaid | MT | |
000010147505 | Other | ID | REGENCE BLUE SHIELD OF ID |
P00126952 | Other | WA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN00144573 (Washington) | Primary |
Entity Name | Pend Oreille County Public Hospital District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427264795 PECOS PAC ID: 3274431184 Enrollment ID: O20031230000017 |
Entity Name | Northwest Orthopaedic Specialists, P.s. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609845825 PECOS PAC ID: 7113811654 Enrollment ID: O20040213000370 |
Mailing Address | Practice Location Address |
---|---|
Willie D Ivey, CRNA 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 Ph: (509) 344-2663 | Willie D Ivey, CRNA 601 W 5th Ave, Suite 500, Spokane, WA 99204-2756 Ph: (509) 344-2663 |
Chelsea Posenjak, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 | |
Leah Nicole Triulzi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-473-5800 | |
Amber George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3181 Fax: 509-227-7070 | |
Miss Diana Marie Bouge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 | |
Douglas G Demmert, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 842 S Cowley St, Ste 3, Spokane, WA 99202 Phone: 509-939-3483 Fax: 509-228-9542 | |
Krista Hillary Baca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 104 W 5th Ave, Suite 250e, Spokane, WA 99204 Phone: 509-838-1547 Fax: 509-835-4058 | |
Mrs. Karli Meehan, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-458-5800 |