Michelle Marie Gaines, CRNA | |
1004 S Rock St, Georgetown, TX 78626-5837 | |
(512) 374-1876 | |
Not Available |
Full Name | Michelle Marie Gaines |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1004 S Rock St, Georgetown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396707964 | NPI | - | NPPES |
306940100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9227492 (Florida) | Primary |
Entity Name | Westlake Anesthesia Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679511307 PECOS PAC ID: 4981607405 Enrollment ID: O20060822000436 |
Mailing Address | Practice Location Address |
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Michelle Marie Gaines, CRNA 11509 Via Grande Dr, Austin, TX 78739-1922 Ph: (512) 466-5222 | Michelle Marie Gaines, CRNA 1004 S Rock St, Georgetown, TX 78626-5837 Ph: (512) 374-1876 |
Rhonda Hobbs Morris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 South Rock Street, Easter Medical Staffing, Georgetown, TX 78626 Phone: 512-374-1876 Fax: 512-371-8788 | |
Melanie Black, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 S Rock St, Georgetown, TX 78626 Phone: 512-374-1876 Fax: 512-371-8788 | |
Sonya Joy Londa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 South Rock Street, Easter Medical Staffing, Georgetown, TX 78626 Phone: 512-374-1876 Fax: 512-371-8788 | |
Drew Darby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 S Rock St, Georgetown, TX 78626 Phone: 512-279-0348 | |
Suzanne S Sparks, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Big Oak Ln, Georgetown, TX 78633 Phone: 817-946-3397 | |
Toni Marie Hogan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 South Rock Street, Westlake Anesthesia Group, Pa, Georgetown, TX 78626 Phone: 512-297-0348 Fax: 512-371-8788 |