Manju Ani Thankachan, CRNA | |
3401 W Gore Blvd, Lawton, OK 73505-6332 | |
(580) 355-8620 | |
Not Available |
Full Name | Manju Ani Thankachan |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 3401 W Gore Blvd, Lawton, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093260911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 110237 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 81949 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Comanche County Memorial Hospital | Lawton, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergenchealth Pllc | 1355606641 | 540 |
Entity Name | Southwest Anesthesia - Service Of Comanche County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255363313 PECOS PAC ID: 6901985043 Enrollment ID: O20080501000000 |
Entity Name | Emergenchealth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
Mailing Address | Practice Location Address |
---|---|
Manju Ani Thankachan, CRNA Po Box 2309, Lawton, OK 73502-2309 Ph: (580) 355-8620 | Manju Ani Thankachan, CRNA 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 355-8620 |
Christine Diane Harbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-9984 | |
John D Fitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-591-1910 Fax: 580-536-2067 | |
Dai An Le, NP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Virginia J Shaw-scherler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 | |
Beth A Allgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 | |
Kathleen Marie Feeley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-3277 |