Jesse B Johnson, CRNA | |
609 W Maple Ave, Springdale, AR 72764-5335 | |
(479) 751-5711 | |
(479) 751-1099 |
Full Name | Jesse B Johnson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 27 Years |
Location | 609 W Maple Ave, Springdale, Arkansas |
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 |
---|---|---|---|
1619975455 | NPI | - | NPPES |
139829701 | Medicaid | AR | |
83751H | Other | TX | BLUE CROSS |
98519 | Other | AR | BLUE CROSS |
002959701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 621415 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C001215 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Medical Center-springdale | Springdale, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chase Placek Floyd Meggers | 1951375492 | 9 |
Capital Anesthesia Solutions Of Arkansas, Llc | 5395159313 | 73 |
Entity Name | Chase Placek Floyd Meggers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326125113 PECOS PAC ID: 1951375492 Enrollment ID: O20040821000101 |
Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
Entity Name | Capital Anesthesia Solutions Of Arkansas, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174125876 PECOS PAC ID: 5395159313 Enrollment ID: O20210202001530 |
Mailing Address | Practice Location Address |
---|---|
Jesse B Johnson, CRNA Po Box 583, Lowell, AR 72745-0583 Ph: (800) 475-6236 | Jesse B Johnson, CRNA 609 W Maple Ave, Springdale, AR 72764-5335 Ph: (479) 751-5711 |
Shannon Nguyen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099 | |
Garret Myhan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099 | |
Mr. Joe Vernon Casey Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711 | |
Sherrie Bonner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099 | |
Emily Jo Stickney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711 | |
Brandie Jolie Cockrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711 | |
Mrs. Stephanie Michele Kendall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099 |