Raymond J Broadbent, CRNA | |
15862 State Highway 110 N, Lindale, TX 75771-5932 | |
(903) 939-7000 | |
Not Available |
Full Name | Raymond J Broadbent |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 31 Years |
Location | 15862 State Highway 110 N, Lindale, 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 |
---|---|---|---|
1609892850 | NPI | - | NPPES |
85109U | Other | TX | BCBSTX |
088824004 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 529805 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist St Anthony's Hospital | Amarillo, TX | Hospital |
Longview Regional Medical Center | Longview, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Iii Pa | 0042630501 | 338 |
U S Anesthesia Partners Of Texas, Pa | 7315850351 | 2379 |
Entity Name | U S Anesthesia Partners Of Texas, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
Entity Name | Deaf Smith County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568454403 PECOS PAC ID: 8123923497 Enrollment ID: O20040510000475 |
Entity Name | Endo Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Entity Name | Amtx Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649779703 PECOS PAC ID: 2668735267 Enrollment ID: O20180412002062 |
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 |
---|---|
Raymond J Broadbent, CRNA 129 Idaho Street, Van, TX 75790 Ph: (903) 963-1685 | Raymond J Broadbent, CRNA 15862 State Highway 110 N, Lindale, TX 75771-5932 Ph: (903) 939-7000 |