Brian Dale Mackey, CRNA | |
329 Ne 3rd St, Apt. 102, Oklahoma City, OK 73104-4080 | |
(405) 278-8102 | |
(405) 278-8103 |
Full Name | Brian Dale Mackey |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 329 Ne 3rd St, Oklahoma City, Oklahoma |
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 |
---|---|---|---|
1134158652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R 0085277 (Oklahoma) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | RN094116 (Louisiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital, Llc | Oklahoma city, OK | Hospital |
Integris Bass Baptist Health Center | Enid, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Of Enid Llc | 5193823631 | 7 |
Hpi Physicians Llc | 6406048289 | 39 |
Entity Name | Central Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912008780 PECOS PAC ID: 4082632948 Enrollment ID: O20051109000379 |
Entity Name | Southern Anesthesia Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336259571 PECOS PAC ID: 1557360880 Enrollment ID: O20061213000476 |
Entity Name | Anesthesia Of Enid Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235298241 PECOS PAC ID: 5193823631 Enrollment ID: O20070607000418 |
Entity Name | Hpi Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205152600 PECOS PAC ID: 6406048289 Enrollment ID: O20101012000705 |
Mailing Address | Practice Location Address |
---|---|
Brian Dale Mackey, CRNA 329 Ne 3rd St, Apt. 102, Oklahoma City, OK 73104-4080 Ph: (405) 278-8102 | Brian Dale Mackey, CRNA 329 Ne 3rd St, Apt. 102, Oklahoma City, OK 73104-4080 Ph: (405) 278-8102 |
Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351 | |
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000 | |
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-431-9921 | |
Ivan Kozhulenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Jasilin Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000 | |
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612 |