Mr Andrey Bobrovnikov, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tacoma, WA

Mr Andrey Bobrovnikov, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tacoma, Washington. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Franciscan Medical Group and his current practice location is 1717 S J St, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 426-6341.

Mr Andrey Bobrovnikov is licensed to practice in Washington (license number AP60466902) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043517170.

Contact Information

Mr Andrey Bobrovnikov, CRNA
1717 S J St,
Tacoma, WA 98405-4933
(253) 426-6341
(253) 426-6344



Provider's Profile

Full NameMr Andrey Bobrovnikov
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location1717 S J St, Tacoma, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Andrey Bobrovnikov graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1043517170
  • Provider Enumeration Date: 02/25/2011
  • Last Update Date: 12/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092982249
  • Enrollment ID: I20141124000389

Medical Identifiers

Medical identifiers for Mr Andrey Bobrovnikov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043517170NPI-NPPES
2042307MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R1547371 (Minnesota)Secondary
367500000XNurse Anesthetist, Certified Registered AP60466902 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth HospitalEnumclaw, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Franciscan Medical Group05471738661115

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Andrey Bobrovnikov allows following entities to bill medicare on his behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789

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Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

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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. Mr Andrey Bobrovnikov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Andrey Bobrovnikov, CRNA
1717 S J St,
Tacoma, WA 98405-4933

Ph: (844) 364-2778
Mr Andrey Bobrovnikov, CRNA
1717 S J St,
Tacoma, WA 98405-4933

Ph: (253) 426-6341

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› Verified 7 days ago


Nurse Anesthetist, Certified Registered Nurses in Tacoma, WA

Janet Jones Sims, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-2252    
Michael John Means, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-2235    
Matthew Libid, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 203-768-5053    
Mrs. Elizabeth Katherine Mary Pulatie, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9040 A Reid St, Tacoma, WA 98431
Phone: 253-968-1110    
Ms. Lisa Ann Petty, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-2252    Fax: 253-968-3278
Craig Andrew Swank, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405
Phone: 253-503-2598    Fax: 253-404-0506

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