Glenda J Conn, CRNA | |
3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | |
(918) 333-3830 | |
(918) 333-3846 |
Full Name | Glenda J Conn |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 3500 E Frank Phillips Blvd, Bartlesville, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952587057 | NPI | - | NPPES |
P00474503 | Other | OK | RR MEDICARE |
200131850A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R0047065 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Oklahoma, Pllc | 1254519275 | 80 |
Entity Name | St. John Anesthesia Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357 |
Mailing Address | Practice Location Address |
---|---|
Glenda J Conn, CRNA Po Box 3456, Bartlesville, OK 74006-3456 Ph: (918) 333-3830 | Glenda J Conn, CRNA 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 Ph: (918) 333-3830 |
Mrs. Regina M Mellen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Jpmc Anesthesia Department, 3500 East Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 | |
Stanley Glendal Foster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 | |
Mr. Donald A Desalvo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-333-1695 | |
Gary L Martin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3500 E Frank Phillips Blvd, Jpmc Anesthesia Dept, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 |