Dennis William Jacks, CRNA | |
6119 Midtown Ave, Suite 201, Little Rock, AR 72205-5313 | |
(501) 664-4532 | |
(501) 663-4335 |
Full Name | Dennis William Jacks |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 6119 Midtown Ave, Little Rock, 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 |
---|---|---|---|
1063790079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C002870 (Arkansas) | Primary |
163W00000X | Registered Nurse | R070488 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Arkansas Heart Hospital, Llc | Little rock, AR | Hospital |
Saline Memorial Hospital | Benton, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arkansas Anesthesia Associates Pllc | 6406023142 | 51 |
Entity Name | Sheridan Healthcare Of Arkansas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699758169 PECOS PAC ID: 0840250114 Enrollment ID: O20041012001218 |
Entity Name | Arkansas Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497023360 PECOS PAC ID: 6406023142 Enrollment ID: O20120119000835 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20200218000624 |
Mailing Address | Practice Location Address |
---|---|
Dennis William Jacks, CRNA 6119 Midtown Ave, Suite 201, Little Rock, AR 72205-5313 Ph: (501) 664-4532 | Dennis William Jacks, CRNA 6119 Midtown Ave, Suite 201, Little Rock, AR 72205-5313 Ph: (501) 664-4532 |
Benjamin Mizell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316 | |
Dr. Ethan Taylor Lewis, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12921 Cantrell Rd, Little Rock, AR 72223 Phone: 501-615-8296 | |
Kasia Pabian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2018 N Garfield St, Little Rock, AR 72207 Phone: 501-614-9998 Fax: 501-325-1491 | |
John W Woodell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 N Rodney Parham Rd, No 203, Little Rock, AR 72212 Phone: 615-620-2320 Fax: 615-620-2323 | |
Barbara C Lenarduzzi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11401 Interstate 30, Little Rock, AR 72209 Phone: 501-455-7100 | |
Brent Anthony Lea, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 515, Little Rock, AR 72205 Phone: 501-686-6114 Fax: 501-686-8139 | |
Anthony L Bridges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316 |