Bryant Allan Gaudreau, | |
7822 Davenport St, Omaha, NE 68114-3629 | |
(402) 391-4855 | |
(402) 391-6818 |
Full Name | Bryant Allan Gaudreau |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 7822 Davenport St, Omaha, Nebraska |
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 |
---|---|---|---|
1417541723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 76969 (Nebraska) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 101651 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Nebraska Methodist Hospital | Omaha, NE | Hospital |
Midwest Surgical Hospital Llc | Omaha, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia West Pc | 4789596834 | 59 |
Entity Name | Anesthesia West Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508899568 PECOS PAC ID: 4789596834 Enrollment ID: O20031105000662 |
Mailing Address | Practice Location Address |
---|---|
Bryant Allan Gaudreau, 7822 Davenport St, Omaha, NE 68114-3629 Ph: (402) 391-4855 | Bryant Allan Gaudreau, 7822 Davenport St, Omaha, NE 68114-3629 Ph: (402) 391-4855 |
Mrs. Dorothy Valasek Adley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8051 West Center Rd., Omaha, NE 68124 Phone: 402-391-3333 | |
Jenna Sullivan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7500 Mercy Road, Omaha, NE 68124 Phone: 402-398-6060 | |
Mrs. Caressa Lynn Kiichler, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4081 Fax: 402-559-7372 | |
Taylor Mueller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4000 | |
John Michael Mccabe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8051 W Center Rd, Omaha, NE 68124 Phone: 402-391-3333 Fax: 402-391-8593 | |
Janet J. Lemonds, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8303 Dodge St, Omaha, NE 68114 Phone: 402-354-4000 | |
Leslie Erin Bonnet, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-4081 Fax: 402-559-7372 |