Jake Johnson, CRNA | |
602 Indiana Ave, Lubbock, TX 79415-3364 | |
(806) 775-8200 | |
Not Available |
Full Name | Jake Johnson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 602 Indiana Ave, Lubbock, 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 |
---|---|---|---|
1548732076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 838272 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Quail Creek Surgical Hospital | Amarillo, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Independent Physicians Network Pllc | 5496029407 | 136 |
Entity Name | Reg Martin Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609187566 PECOS PAC ID: 8022200864 Enrollment ID: O20101012000305 |
Entity Name | Independent Physicians Network Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396274676 PECOS PAC ID: 5496029407 Enrollment ID: O20170914001408 |
Mailing Address | Practice Location Address |
---|---|
Jake Johnson, CRNA 531 N Chicago Ave Apt B, Lubbock, TX 79416-2911 Ph: (806) 881-7317 | Jake Johnson, CRNA 602 Indiana Ave, Lubbock, TX 79415-3364 Ph: (806) 775-8200 |
Kayleigh Mccarrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325 | |
Mr. Nzonguti Ekangaki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St Ste 1b350s, Lubbock, TX 79430 Phone: 806-743-6639 | |
Mrs. Mayme Alicia Matthews, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Texas Tech University Health Sciences Ctr, 3601 4th Street, Ms 8182, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2982 | |
Mr. Joshua Kain Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5602 Geneva Ave, Lubbock, TX 79413 Phone: 432-349-0935 | |
Anthony Raymond Fuller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8200 | |
Mrs. Sarah L Daftarian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2984 | |
Joshua Alan Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Ste. 1b350k, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2984 |