Mr Jerry L Mixon, CRNA | |
4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | |
(936) 569-9481 | |
(936) 462-4333 |
Full Name | Mr Jerry L Mixon |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 50 Years |
Location | 4920 Ne Stallings Dr, Nacogdoches, Texas |
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 |
---|---|---|---|
1306945944 | NPI | - | NPPES |
088527903 | Medicaid | TX | |
88693U | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 227393 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Center For Sight, Pa | 0345137097 | 5 |
Entity Name | The Center For Sight, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053494245 PECOS PAC ID: 0345137097 Enrollment ID: O20040228000122 |
Entity Name | Ac Provider Services Of Texas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427280635 PECOS PAC ID: 5395883359 Enrollment ID: O20091112000394 |
Entity Name | Main Street Anesthesia Of Texas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700381761 PECOS PAC ID: 1052675667 Enrollment ID: O20180508000762 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerry L Mixon, CRNA Po Box 632114, Nacogdoches, TX 75963-2114 Ph: (936) 568-0087 | Mr Jerry L Mixon, CRNA 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 Ph: (936) 569-9481 |
Ms. Nancy Joanne Batzloff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 919 County Road 2131, Nacogdoches, TX 75965 Phone: 936-560-1338 | |
Wallace D Womack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8525 | |
Mr. Ronald Anthony Freeland, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-564-4611 | |
James Robert Stockman Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-569-4164 | |
Mrs. Kendra Brooks Stockman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3610 N University Dr, Nacogdoches, TX 75965 Phone: 936-254-4703 | |
Mr. James H. Newberg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8444 |