Regina D Prince, CRNA | |
1808 W Main St, Russellville, AR 72801-2724 | |
(479) 968-2841 | |
Not Available |
Full Name | Regina D Prince |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 1808 W Main St, Russellville, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013111517 | NPI | - | NPPES |
5A423 | Other | AR | BCBS |
165275001 | Medicaid | AR | |
771053701 | Other | AR | AR BREASTCARE |
P00603893 | Other | AR | RR MEDICARE FOR GROUP CC5970 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CTP000048 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C02671 (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 |
---|---|---|
Gastro Anesthesia Pllc | 3577727700 | 20 |
St Mary's Specialty, Llc | 5496189318 | 8 |
Entity Name | Gastro Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366700890 PECOS PAC ID: 3577727700 Enrollment ID: O20120619000424 |
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 |
---|---|
Regina D Prince, CRNA Po Box 1351, Russellville, AR 72811-1351 Ph: (800) 235-1415 | Regina D Prince, CRNA 1808 W Main St, Russellville, AR 72801-2724 Ph: (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 | |
Mr. Michael W Gund, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 |