| Jeremy Blake Eaves, CRNA | |
|
1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | |
| (817) 250-2000 | |
| Not Available |
| Full Name | Jeremy Blake Eaves |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1301 Pennsylvania Ave, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467280008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 915308 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1177067 (Texas) | Primary |
| Entity Name | U S Anesthesia Partners Of Texas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Blake Eaves, CRNA Po Box 840853, Dallas, TX 75284-2087 Ph: (972) 233-1999 | Jeremy Blake Eaves, CRNA 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 Ph: (817) 250-2000 |
Mr. John Paul Schreiner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 S Hulen St Ste 425, Fort Worth, TX 76109 Phone: 817-731-2875 | |
Allyson Evans, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 801-792-5267 | |
Terri D. Kane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4916 Overton Plz, Fort Worth, TX 76109 Phone: 888-804-3000 Fax: 817-334-0235 | |
Dr. Shaquitta Nicole Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-702-3431 | |
Ms. Patricia L. Gillum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-882-3680 Fax: 817-878-5135 | |
Erin Lenora Schwarz, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-926-2544 | |
Anthony Casey Randolph, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-920-6864 |