John C Hartley, CRNA | |
5916 Sicilian Cir, Plano, TX 75093-7016 | |
(972) 948-0698 | |
(972) 312-8765 |
Full Name | John C Hartley |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5916 Sicilian Cir, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780683433 | NPI | - | NPPES |
149479101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 627353 (Texas) | Primary |
Entity Name | Endo Sedation Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Mailing Address | Practice Location Address |
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John C Hartley, CRNA 5916 Sicilian Cir, Plano, TX 75093-7016 Ph: (972) 948-0698 | John C Hartley, CRNA 5916 Sicilian Cir, Plano, TX 75093-7016 Ph: (972) 948-0698 |
Lynn C Andrews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6000 W Spring Creek Pkwy Ste 150, Plano, TX 75024 Phone: 468-559-5880 Fax: 888-514-7033 | |
Taylor Nicole Mcfarlin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6200 W Parker Rd, Plano, TX 75093 Phone: 972-981-8000 | |
Amanda Frampton Watts, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6712 Hornbeam Ct, Plano, TX 75023 Phone: 903-752-3060 | |
Mr. Robert L. Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3901 W 15th St, Plano, TX 75075 Phone: 972-519-1115 Fax: 972-519-1456 | |
Byron Razon, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6200 W Parker Rd, Plano, TX 75093 Phone: 469-644-0830 | |
John David Caley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6009 W Parker Rd, Suite 149-245, Plano, TX 75093 Phone: 214-244-8796 Fax: 972-781-1461 | |
Kyle M Shadle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1708 Coit Rd, Suite 220a, Plano, TX 75075 Phone: 972-596-6400 Fax: 972-867-4766 |