James Brian Hacker, CRNA, DNAP | |
36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | |
(254) 288-8473 | |
Not Available |
Full Name | James Brian Hacker |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 36065 Santa Fe Ave, Fort Hood, Texas |
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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1174708986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | RN521960L (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | NATL CERT # 077959 (Pennsylvania) | Primary |
Entity Name | West Shore Anesthesia Associates, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225037492 PECOS PAC ID: 4880506443 Enrollment ID: O20031103000237 |
Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
Mailing Address | Practice Location Address |
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James Brian Hacker, CRNA, DNAP 9040 Fitzsimmons Drive, Tacoma, WA 98431-1100 Ph: (253) 967-7408 | James Brian Hacker, CRNA, DNAP 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 Ph: (254) 288-8473 |
Michelle Dawn Johnson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Carl R. Darnall Army Medical Center, 36000 Darnall Loop, Fort Hood, TX 76544 Phone: 253-973-8193 | |
Terry Earl Raines, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Darnall Army Medical Center, Fort Hood, TX 76544 Phone: 254-288-8556 | |
James Chervoni, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 36000 Darnall Loop, Fort Hood, TX 76544 Phone: 254-288-8197 Fax: 254-553-1885 | |
Denise Michele Beaumont, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36000 Darnall Loop, Carl R Darnall Army Medical Center, Fort Hood, TX 76544 Phone: 254-288-8706 Fax: 254-288-7017 | |
Ms. Lori Ann Lawhorn, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 254-288-8559 | |
Michael Soucier, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 36065 Sante Fe Ave, Fort Hood, TX 76544 Phone: 254-288-8000 | |
Mr. James Wilson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 36065 Sante Fe Ave, Carl R.darnall Army Medical Center, Fort Hood, TX 76544 Phone: 253-304-1248 |