Edgardo Fabery Zeno, CRNA | |
430 N Monte Vista St, Ada, OK 74820-4657 | |
(580) 332-2323 | |
Not Available |
Full Name | Edgardo Fabery Zeno |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 430 N Monte Vista St, Ada, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225754997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 205822 (Oklahoma) | Primary |
Entity Name | Western Oklahoma Anesthesia Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663 |
Entity Name | Western Oklahoma Anesthesia Consultants Woodward Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715 |
Mailing Address | Practice Location Address |
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Edgardo Fabery Zeno, CRNA 1710 W 3rd St Ste 100, Elk City, OK 73644-5160 Ph: (580) 339-8001 | Edgardo Fabery Zeno, CRNA 430 N Monte Vista St, Ada, OK 74820-4657 Ph: (580) 332-2323 |
Johnny J Sacco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Tina S Johnston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Mr. Mark E. Bucher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5354 | |
Gerald Joseph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5354 | |
Carol Lynn Rhoads, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Chickasaw Nation Health System, Ada, OK 74820 Phone: 580-421-6248 | |
Bill Larue Spencer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18626 County Road 1550, Ada, OK 74820 Phone: 580-436-0187 |