Phillip David Westbrook, CRNA | |
112 Front Ave, Winnfield, LA 71483-7776 | |
(318) 727-9298 | |
Not Available |
Full Name | Phillip David Westbrook |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 112 Front Ave, Winnfield, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760426811 | NPI | - | NPPES |
NM006H71 | Other | NM | BCBS |
70805253 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN036870/AP01396 (Louisiana) | Primary |
Entity Name | Youngs Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
Entity Name | Anesthesia Management Solutions Of Texas, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235750795 PECOS PAC ID: 7214358373 Enrollment ID: O20200528002404 |
Entity Name | El Paso Ams Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134740202 PECOS PAC ID: 9931520970 Enrollment ID: O20200601000147 |
Mailing Address | Practice Location Address |
---|---|
Phillip David Westbrook, CRNA 112 Front Ave-calvin, Winnfield, LA 71483-7776 Ph: (318) 727-9298 | Phillip David Westbrook, CRNA 112 Front Ave, Winnfield, LA 71483-7776 Ph: (318) 727-9298 |
Jeffery Dale Wyatt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 W Boundary Ave, Winnfield, LA 71483 Phone: 318-648-3072 |