Antonio P Landry, CRNA | |
3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | |
(918) 664-9892 | |
(918) 664-2521 |
Full Name | Antonio P Landry |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 3215 N Northhills Blvd, Fayetteville, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255391629 | NPI | - | NPPES |
200230880A | Medicaid | OK | |
771102801 | Other | AR | BREASTCARE |
177921001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1028924887 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | R82661 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Washington Regional Medical Center | Fayetteville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Anesthesia Of Arkansas Professional Corporation | 6406077460 | 52 |
Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
Mailing Address | Practice Location Address |
---|---|
Antonio P Landry, CRNA 4500 S Garnett Rd, Suite 300, Tulsa, OK 74146-5229 Ph: (918) 664-9892 | Antonio P Landry, CRNA 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 Ph: (918) 664-9892 |
Amanda Lavon Delsoto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3271 Wimberly Dr, Fayetteville, AR 72703 Phone: 479-713-6100 | |
Kelsey Erin Van Slyke, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-1000 | |
Mr. Charles Arthur Mccutchen Sr., C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3873 N Parkview Dr, Fayetteville, AR 72703 Phone: 479-527-0050 | |
Victor Pribislavski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3394 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-582-3360 Fax: 479-582-3466 | |
Heather Pribislavski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 501-690-2708 | |
James Berry, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3318 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-872-1294 | |
Bradley Tow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 770-643-5619 |