Jon S Fannin, CRNA | |
710 Water St, Kerrville, TX 78028-5329 | |
(830) 896-1344 | |
Not Available |
Full Name | Jon S Fannin |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 710 Water St, Kerrville, Texas |
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 |
---|---|---|---|
1376582551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R43299 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern New Mexico Medical Center | Roswell, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 149 |
Entity Name | Main Street Anesthesia Of New Mexico, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
Entity Name | Folsom Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861004715 PECOS PAC ID: 1759709066 Enrollment ID: O20200918001477 |
Mailing Address | Practice Location Address |
---|---|
Jon S Fannin, CRNA 420 Water St, 105-b, Kerrville, TX 78028-5200 Ph: (830) 896-1344 | Jon S Fannin, CRNA 710 Water St, Kerrville, TX 78028-5329 Ph: (830) 896-1344 |
James R Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 | |
David L Stoddard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 | |
James T Papesca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 420 Water St Ste 105b, Kerrville, TX 78028 Phone: 830-896-1344 | |
Patrick Reidy Lower, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 | |
Genevieve C Thomas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 420 Water St, #105-b, Kerrville, TX 78028 Phone: 830-896-1344 Fax: 830-896-1363 | |
Lisa L Solder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 |