Lance Lagerstrom, CRNA | |
520 E 6th St, Odessa, TX 79761-4527 | |
(432) 334-8088 | |
(432) 580-7202 |
Full Name | Lance Lagerstrom |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 24 Years |
Location | 520 E 6th St, Odessa, 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 |
---|---|---|---|
1184616625 | NPI | - | NPPES |
164828902 | Medicaid | TX | |
85594U | Other | TX | BCBSTX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 052743 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Virginia Medical Center | Charlottesville, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rector And Visitors Of The University Of Virginia | 4789592718 | 72 |
Entity Name | Rector & Visitors Of The University Of Virginia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780630608 PECOS PAC ID: 4789592718 Enrollment ID: O20031118000066 |
Mailing Address | Practice Location Address |
---|---|
Lance Lagerstrom, CRNA Po Box 1226, Odessa, TX 79760-1226 Ph: (432) 334-8088 | Lance Lagerstrom, CRNA 520 E 6th St, Odessa, TX 79761-4527 Ph: (432) 334-8088 |
Benedict Castanares Novicio, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2408 Fax: 432-640-2190 | |
Bonnie Longnecker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-332-0929 | |
Scott Madewell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-334-8088 Fax: 432-580-7202 | |
Mr. Brooks Ross Greger Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 419 W 5th St, Odessa, TX 79761 Phone: 432-640-2401 | |
Charles Richard Fox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-334-8088 Fax: 432-580-7202 | |
Jordan Crumrine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-332-0929 Fax: 888-575-9993 | |
John W Presley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-4606 |