David L Stoddard, CRNA | |
575 Hill Country Dr Ste 101, Kerrville, TX 78028-6024 | |
(830) 258-7828 | |
Not Available |
Full Name | David L Stoddard |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 575 Hill Country Dr Ste 101, Kerrville, Texas |
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 |
---|---|---|---|
1124095815 | NPI | - | NPPES |
072545 | Other | RE-CERT # | |
172979001 | Medicaid | TX | |
8960UC | Other | TX | BCBS PINNACLE ANESTHESIA CONSULTANTS, PA |
8D1570 | Other | TX | BCBS PROV # |
200050370A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 658772 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peterson Regional Medical Center | Kerrville, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peterson Medical Associates | 1355467887 | 101 |
Entity Name | Anesthesia Associates Of Kerrville Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245268846 PECOS PAC ID: 4981630597 Enrollment ID: O20050714000943 |
Entity Name | Peterson Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770800575 PECOS PAC ID: 1355467887 Enrollment ID: O20100922000142 |
Mailing Address | Practice Location Address |
---|---|
David L Stoddard, CRNA Po Box 650426, Dallas, TX 75265-0426 Ph: (972) 715-5000 | David L Stoddard, CRNA 575 Hill Country Dr Ste 101, Kerrville, TX 78028-6024 Ph: (830) 258-7828 |
James R Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 | |
James T Papesca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 420 Water St Ste 105b, Kerrville, TX 78028 Phone: 830-896-1344 | |
Patrick Reidy Lower, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 | |
Jon S. Fannin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 710 Water St, Kerrville, TX 78028 Phone: 830-896-1344 | |
Genevieve C Thomas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 420 Water St, #105-b, Kerrville, TX 78028 Phone: 830-896-1344 Fax: 830-896-1363 | |
Lisa L Solder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 |