Mr Donald A Desalvo, CRNA | |
3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | |
(918) 331-1555 | |
(918) 333-1695 |
Full Name | Mr Donald A Desalvo |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3500 E Frank Phillips Blvd, Bartlesville, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649203209 | NPI | - | NPPES |
20086500A | Medicaid | OK | |
010672601002 | Other | OK | BCBSOK |
200086500A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 680876 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | R 88186 (Oklahoma) | Primary |
Entity Name | Seven Flags Anesthesia Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841625878 PECOS PAC ID: 5395971865 Enrollment ID: O20131112001248 |
Entity Name | Texas Ams Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174926125 PECOS PAC ID: 9133441769 Enrollment ID: O20141209001912 |
Mailing Address | Practice Location Address |
---|---|
Mr Donald A Desalvo, CRNA Po Box 3456, Bartlesville, OK 74006-3456 Ph: (918) 333-4100 | Mr Donald A Desalvo, CRNA 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 Ph: (918) 331-1555 |
Mrs. Regina M Mellen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Jpmc Anesthesia Department, 3500 East Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 | |
Stanley Glendal Foster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 | |
Gary L Martin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3500 E Frank Phillips Blvd, Jpmc Anesthesia Dept, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 | |
Glenda J. Conn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-333-3830 Fax: 918-333-3846 |