Mr Jean Gabriel Richard, CRNA | |
200 2nd Ave Sw, Miami, OK 74354-6830 | |
(918) 540-7520 | |
(918) 540-7533 |
Full Name | Mr Jean Gabriel Richard |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 200 2nd Ave Sw, Miami, Oklahoma |
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 |
---|---|---|---|
1295712420 | NPI | - | NPPES |
166648902 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 98467 (Oklahoma) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 674661 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Anesthesia Services, Llc | 0042587842 | 21 |
Entity Name | Integris Ambulatory Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
Entity Name | Anesthesia Associates Of Grand Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841525193 PECOS PAC ID: 5597803353 Enrollment ID: O20091116000357 |
Entity Name | Deaconess Anesthesia Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912432048 PECOS PAC ID: 0042587842 Enrollment ID: O20170526001532 |
Mailing Address | Practice Location Address |
---|---|
Mr Jean Gabriel Richard, CRNA 5300 N Independence Ave Ste 280, Oklahoma City, OK 73112-5555 Ph: (918) 540-7520 | Mr Jean Gabriel Richard, CRNA 200 2nd Ave Sw, Miami, OK 74354-6830 Ph: (918) 540-7520 |
Edward Lynn Sommerhauser, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-542-6611 Fax: 918-787-3864 | |
Ronald G Sturgeon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7520 | |
Joey Shane Adams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7520 Fax: 918-540-7533 | |
Randall Watson Brady, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-542-6611 Fax: 918-787-3635 | |
Brittany M Turner, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7520 Fax: 918-540-7533 |