| Ricky James Deville Ii, CRNA | |
|
525 Branson Landing Blvd, Branson, MO 65616 | |
| (660) 747-2500 | |
| Not Available |
| Full Name | Ricky James Deville Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 525 Branson Landing Blvd, Branson, Missouri |
| 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 |
|---|---|---|---|
| 1457692857 | NPI | - | NPPES |
| 910003914 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28242075A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2012037900 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Center Branson | Branson, MO | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Hospital Inc | 9032021431 | 312 |
| Entity Name | Deaconess Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky James Deville Ii, CRNA Po Box 9007, Springfield, MO 65808-9007 Ph: (417) 875-3000 | Ricky James Deville Ii, CRNA 525 Branson Landing Blvd, Branson, MO 65616 Ph: (660) 747-2500 |
Mr. Wayne E Berkbigler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 915 State Highway 248, Suite B, Branson, MO 65616 Phone: 417-335-8572 Fax: 417-335-8573 | |
Barbara J Brezavar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 251 Skaggs Rd, Branson, MO 65616 Phone: 800-277-8151 | |
Donald Walker Myears, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 Branson Landing Blvd, Branson, MO 65616 Phone: 417-239-3392 Fax: 417-239-3394 | |
Robert J Zinn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 251 Skaggs Rd, Branson, MO 65616 Phone: 800-277-8151 | |
Teresa K Givens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 Skaggs Rd, Branson, MO 65616 Phone: 417-239-3392 Fax: 417-239-3394 | |
Sherilyn R Weter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 251 Skaggs Rd, Branson, MO 65616 Phone: 800-277-8151 |