Mr Michael Wayne Phillips, CRNA | |
719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | |
(903) 342-5227 | |
(903) 342-4121 |
Full Name | Mr Michael Wayne Phillips |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 719 W Coke Rd, Winnsboro, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588674246 | NPI | - | NPPES |
84759U | Other | TX | BLUE CROSS BLUE SHIELD |
003290602 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN545795 (Texas) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA41986 (Texas) | Secondary |
Entity Name | Longview Medical Center Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508824038 PECOS PAC ID: 2961490966 Enrollment ID: O20040505001835 |
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 |
Entity Name | Northstar Anesthesia Iii Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Wayne Phillips, CRNA 7390 Giraffe Rd, Gilmer, TX 75644 Ph: (903) 725-5267 | Mr Michael Wayne Phillips, CRNA 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Ph: (903) 342-5227 |
Mr. Juan Francisco Quintana, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121 | |
Mr. Eddie L Fontenot, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 719 W Coke Rd, Winnsboro, TX 75494 Phone: 903-707-4768 | |
Mr. Theodore Knox Gregory Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121 |