Lisa A Brascho, CRNA | |
400 E 10th St, Anniston, AL 36207-4716 | |
(256) 235-5190 | |
Not Available |
Full Name | Lisa A Brascho |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 400 E 10th St, Anniston, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699725473 | NPI | - | NPPES |
051556629 | Medicaid | AL | |
51530494 | Other | AL | BLUE SHIELD |
051525875 | Medicaid | AL | |
51074344 | Other | AL | BLUE SHIELD |
51525875 | Other | AL | BLUE SHIELD |
P00200457 | Other | PALMETTO GBA - RR MEDICAR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-058973 (Alabama) | Primary |
Entity Name | Anesthesiologists Associated Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851371850 PECOS PAC ID: 6204739519 Enrollment ID: O20040202000465 |
Entity Name | Anesthesia Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821013905 PECOS PAC ID: 3476570870 Enrollment ID: O20051025000816 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20170516000950 |
Entity Name | Gadsden Hb Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750061610 PECOS PAC ID: 4183078561 Enrollment ID: O20231004001282 |
Mailing Address | Practice Location Address |
---|---|
Lisa A Brascho, CRNA Po Box 10484, Birmingham, AL 35202-0484 Ph: (205) 322-1808 | Lisa A Brascho, CRNA 400 E 10th St, Anniston, AL 36207-4716 Ph: (256) 235-5190 |
Danny Earl Montgolf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 E 18th St, Anniston, AL 36207 Phone: 256-235-8900 Fax: 256-236-2503 | |
Mrs. Alicia Lindley Webb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5121 | |
Candace Robinson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5121 | |
Sally L Haynes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5860 | |
Florence J Harvey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 E 18th St, Anniston, AL 36207 Phone: 256-235-8751 | |
Neal D Mulkey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5860 | |
Lew A Prince, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5860 |