Mr Stephen Wade Earnhart, CRNA is a
Nurse Anesthetist, Certified Registered based in League City, Texas. Mr Stephen Wade Earnhart is licensed to practice in Texas (license number 566296) and his current practice location is
3930 Lake Star Dr, League City, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 297-7575.
NPI number for Mr Stephen Wade Earnhart is 1992040836 and his current mailing address is 3930 Lake Star Dr, League City, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992040836.
Provider's Profile
| Full Name | Mr Stephen Wade Earnhart |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 3930 Lake Star Dr, League City, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992040836
- Provider Enumeration Date: 12/04/2012
- Last Update Date: 12/04/2012
Medical Identifiers
Medical identifiers for Mr Stephen Wade Earnhart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992040836 | NPI | - | NPPES |
| 26847 | Other | TX | CRNA LICENSURE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 566296 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Stephen Wade Earnhart is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Stephen Wade Earnhart, CRNA
3930 Lake Star Dr,
League City, TX 77573-3534
Ph: (512) 297-7575 | Mr Stephen Wade Earnhart, CRNA
3930 Lake Star Dr,
League City, TX 77573-3534
Ph: (512) 297-7575 |
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