Mr Michael W Gund, CRNA | |
1808 W Main St, Russellville, AR 72801-2724 | |
(479) 968-2841 | |
Not Available |
Full Name | Mr Michael W Gund |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 31 Years |
Location | 1808 W Main St, Russellville, Arkansas |
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 |
---|---|---|---|
1972504801 | NPI | - | NPPES |
5S503 | Other | AR | BLUE CROSS BLUE SHIELD AR |
125162701 | Medicaid | AR | |
430024065 | Other | RR MEDICARE GROUP CC5970 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C00865 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Marys Regional Medical Center | Russellville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Mary's Specialty, Llc | 5496189318 | 8 |
Entity Name | St Mary's Specialty, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831730670 PECOS PAC ID: 5496189318 Enrollment ID: O20200102000443 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael W Gund, CRNA Po Box 1351, Russellville, AR 72811-1351 Ph: (800) 235-1415 | Mr Michael W Gund, CRNA 1808 W Main St, Russellville, AR 72801-2724 Ph: (479) 968-2841 |
Regina D Prince, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 | |
Hugh Hayden Hipps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 | |
Stephanie Sue Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 | |
Mr. Clifford G Breier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 |