Dwight L Thacker, CRNA | |
3650 W Rock Creek Rd, #100, Norman, OK 73072-2202 | |
(405) 701-3418 | |
(405) 701-3451 |
Full Name | Dwight L Thacker |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 3650 W Rock Creek Rd, Norman, 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 |
---|---|---|---|
1801865100 | NPI | - | NPPES |
200078370A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R0073406 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Oklahoma Center For Orthopaedic & Multi-sp | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthomed Staffing Llc | 9638429178 | 252 |
Entity Name | Norman Anesthesia Providers, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881652667 PECOS PAC ID: 4385536333 Enrollment ID: O20040325001436 |
Entity Name | Anesthesia Medical Professionals Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962785931 PECOS PAC ID: 5991970279 Enrollment ID: O20111215000187 |
Entity Name | St. Anthony Shawnee Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619260411 PECOS PAC ID: 1052567328 Enrollment ID: O20121015000218 |
Entity Name | Orthomed Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20230914002918 |
Mailing Address | Practice Location Address |
---|---|
Dwight L Thacker, CRNA 3650 W Rock Creek Rd, #100, Norman, OK 73072-2202 Ph: (405) 701-3418 | Dwight L Thacker, CRNA 3650 W Rock Creek Rd, #100, Norman, OK 73072-2202 Ph: (405) 701-3418 |
Jennifer Leigh Fleck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Darren Todd Gose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, #100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Randy A Rogers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1125 N Porter Ave Ste 301, Norman, OK 73071 Phone: 405-307-1000 | |
Kendall Hurley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd Ste 101, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Deanne Lynn Givens, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3650 W Rock Creek Rd, #100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Jason Ray Falconer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Bruce E Kennedy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 W Gray St, Norman, OK 73069 Phone: 405-364-6182 Fax: 405-364-5379 |