Gavin Vance Bruney, CRNA | |
2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | |
(409) 853-5972 | |
(337) 433-9861 |
Full Name | Gavin Vance Bruney |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 39 Years |
Location | 2555 Jimmy Johnson Blvd, Port Arthur, 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 |
---|---|---|---|
1508871443 | NPI | - | NPPES |
109774301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 520928 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
Baptist Beaumont Hospital | Beaumont, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Group Pllc | 2264792449 | 47 |
Entity Name | Anesthesia Associates Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477078202 PECOS PAC ID: 2264792449 Enrollment ID: O20180208000285 |
Mailing Address | Practice Location Address |
---|---|
Gavin Vance Bruney, CRNA Po Box 3084, Lake Charles, LA 70602-3084 Ph: (409) 853-5972 | Gavin Vance Bruney, CRNA 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 Ph: (409) 853-5972 |
Penni L Guidry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Gates Blvd, Port Arthur, TX 77642 Phone: 409-989-5170 | |
Hai T Vu, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 | |
Diem Vo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 | |
John R Taylor, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 | |
Mr. Michael Winston Evans, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 Fax: 409-853-5917 |