Jase Russell Edward Hoffman, | |
401 W 39th St Apt 110, Austin, TX 78751-4937 | |
(715) 572-8623 | |
Not Available |
Full Name | Jase Russell Edward Hoffman |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 401 W 39th St Apt 110, Austin, 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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1366140089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 254446-30 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1111519 (Texas) | Primary |
Entity Name | Independent Physicians Network Pllc |
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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 |
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Jase Russell Edward Hoffman, 401 W 39th St Apt 110, Austin, TX 78751-4937 Ph: (715) 572-8623 | Jase Russell Edward Hoffman, 401 W 39th St Apt 110, Austin, TX 78751-4937 Ph: (715) 572-8623 |
Denise Leger, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8140 N Mopac Expy Ste 3-210, Austin, TX 78759 Phone: 512-343-2292 Fax: 512-343-2745 | |
Cherese Wheelock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Donna M Landry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2304 Hancock Dr Ste 4, Austin, TX 78756 Phone: 512-407-8444 Fax: 512-407-8097 | |
Jeremy Frank Briggs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Genevieve L Woolsey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Dania Northcutt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Mr. Matthew Jeffrey Doherty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12221 N Mopac Expy, Austin, TX 78758 Phone: 512-901-1000 |