Johnny J Sacco, CRNA | |
1921 Stonecipher Dr, Ada, OK 74820-3439 | |
(580) 436-3980 | |
(580) 421-6283 |
Full Name | Johnny J Sacco |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 1921 Stonecipher Dr, Ada, Oklahoma |
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 |
---|---|---|---|
1285607838 | NPI | - | NPPES |
200227680A | Medicaid | OK | |
009974030 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1079255 (Alabama) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 94306 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chickasaw Nation Medical Center | Ada, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center | 8426957523 | 219 |
Entity Name | Chickasaw Nation Division Of Health Chickasaw Nation Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
Mailing Address | Practice Location Address |
---|---|
Johnny J Sacco, CRNA 1925 Warrior Way, Ada, OK 74820-3491 Ph: (580) 421-4570 | Johnny J Sacco, CRNA 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 436-3980 |
Edgardo Fabery Zeno, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 430 N Monte Vista St, Ada, OK 74820 Phone: 580-332-2323 | |
Tina S Johnston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Mr. Mark E. Bucher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5354 | |
Gerald Joseph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5354 | |
Carol Lynn Rhoads, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Chickasaw Nation Health System, Ada, OK 74820 Phone: 580-421-6248 | |
Bill Larue Spencer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18626 County Road 1550, Ada, OK 74820 Phone: 580-436-0187 |