Individual ProviderPhilip BacaniNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1100 9th Ave, Seattle, WA 98101-2756(206) 341-0097(206) 288-9475PECOS EnrollmentBased on the most recent information from CMS, provider Philip Bacani does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1538754858Provider TypeIndividualFull NameBacani, PhilipTitleDr.CredentialDNP, CRNAGenderMaleSole ProprietorNoEnumeration Date3/8/2021Last Updated6/18/2021Contact InformationPractice LocationPractice Address1100 9th Ave, Seattle, WA 98101-2756Phone(206) 341-0097Fax(206) 583-6580Mailing LocationMailing Address211 Pomeroy Ave Apt 1202, Meriden, CT 06450-1783Phone(206) 288-9475FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP61182804Washington