Amanda Jane Brokke, CRNA | |
2701 E Stan Schlueter Loop Ste 100, Killeen, TX 76542-3810 | |
(855) 876-7246 | |
(855) 277-5070 |
Full Name | Amanda Jane Brokke |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2701 E Stan Schlueter Loop Ste 100, Killeen, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710247556 | NPI | - | NPPES |
AP121982 | Other | TX | TEXAS CRNA LICENSE |
2J7040 | Other | TX | TEXAS MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 88406 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP121982 (Texas) | Primary |
Entity Name | Psa Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477828028 PECOS PAC ID: 2466618673 Enrollment ID: O20120716000229 |
Mailing Address | Practice Location Address |
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Amanda Jane Brokke, CRNA Po Box 208379, Dallas, TX 75320-8382 Ph: (512) 485-7208 | Amanda Jane Brokke, CRNA 2701 E Stan Schlueter Loop Ste 100, Killeen, TX 76542-3810 Ph: (855) 876-7246 |
Melizza Saenz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3800 S W S Young Dr Ste 201, Killeen, TX 76542 Phone: 254-245-9175 Fax: 254-213-7771 | |
Michael Mwasumbi, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 Fax: 254-724-8572 | |
Kristi L Lefrere, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 | |
Detonya Necol Tulsie, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-724-2111 | |
Mr. Jeffrey Wayne Albritton, MSN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3800 S W S Young Dr Ste 201, Killeen, TX 76542 Phone: 254-245-9175 Fax: 254-213-7771 | |
Tammy A Laughlin, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 | |
Cody Chachere, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2201 Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 |