Brandon Johnston, CRNA | |
2015 Jackson St, Anderson, IN 46016-4337 | |
(765) 649-2511 | |
Not Available |
Full Name | Brandon Johnston |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2015 Jackson St, Anderson, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184171266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28200559A (Indiana) | Primary |
Entity Name | St Vincent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
---|---|
Brandon Johnston, CRNA 10330 N Meridian St # 300, Indianapolis, IN 46290-1024 Ph: () - | Brandon Johnston, CRNA 2015 Jackson St, Anderson, IN 46016-4337 Ph: (765) 649-2511 |
Krysta Ramey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2015 Jackson St, Anderson, IN 46016 Phone: 765-649-2500 | |
Kathrine Annette Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 N Madison Ave, Anderson, IN 46011 Phone: 765-298-2928 | |
Brittney Leigh Schiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2015 Jackson St, Anderson, IN 46016 Phone: 765-649-2511 | |
Jerri Goodman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 N Madison Ave, Anderson, IN 46011 Phone: 317-802-6302 | |
Gregory A Yant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 N Madison Ave, Anderson, IN 46011 Phone: 765-298-4242 | |
Amanda Christine Huddleston, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2015 Jackson St, Anderson, IN 46016 Phone: 765-649-2511 |