Jessica Jackson, CRNA | |
1600 11th St, Wichita Falls, TX 76301-4300 | |
(800) 939-7440 | |
Not Available |
Full Name | Jessica Jackson |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1600 11th St, Wichita Falls, 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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1457718280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP130093 (Texas) | Primary |
Entity Name | Wichita Falls Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639636210 PECOS PAC ID: 7012259260 Enrollment ID: O20190508002236 |
Mailing Address | Practice Location Address |
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Jessica Jackson, CRNA Po Box 5188, Longview, TX 75608-5188 Ph: () - | Jessica Jackson, CRNA 1600 11th St, Wichita Falls, TX 76301-4300 Ph: (800) 939-7440 |
Marsc Danielle Mertilus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-7000 | |
Amy Renee Scheriger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-7000 | |
Jesse Lee Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-7000 | |
Mr. Theodore David Haynes Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 11th St, Dept. Anesthesia, Wichita Falls, TX 76301 Phone: 940-764-3390 Fax: 940-764-3391 | |
Miss Wendy Noles, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Copper Kettle Ct, Wichita Falls, TX 76308 Phone: 281-682-2295 | |
Harley Michelle Dowdy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 8th St, Wichita Falls, TX 76301 Phone: 940-764-7000 | |
Mr. Joseph Peter Mozur Iii, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-7000 |