Russell T Beavers, CRNA | |
24 Glasgow Ct, Little Rock, AR 72211-2170 | |
(870) 489-1592 | |
Not Available |
Full Name | Russell T Beavers |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 24 Glasgow Ct, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700881778 | NPI | - | NPPES |
59622 | Other | AR | BCBS |
430014101 | Other | RRMCR/PGBA | |
125085701 | Medicaid | AR | |
AR6003788 | Other | TRICARE/HUMANA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C00338 (Arkansas) | Primary |
Entity Name | Physicians Day Surgery Center |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1588603351 PECOS PAC ID: 0143129254 Enrollment ID: O20040107000965 |
Entity Name | Physicians Day Surgery Center |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1023057916 PECOS PAC ID: 0143129254 Enrollment ID: O20080929000775 |
Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
Entity Name | Jefferson Regional Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205301587 PECOS PAC ID: 6204171846 Enrollment ID: O20181231000163 |
Entity Name | Battle Street Surgery Center, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1457077174 PECOS PAC ID: 2860862349 Enrollment ID: O20221227000914 |
Entity Name | Mcfarland Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689378325 PECOS PAC ID: 1557708153 Enrollment ID: O20240319000583 |
Mailing Address | Practice Location Address |
---|---|
Russell T Beavers, CRNA 24 Glasgow Ct, Little Rock, AR 72211-2170 Ph: (870) 489-1592 | Russell T Beavers, CRNA 24 Glasgow Ct, Little Rock, AR 72211-2170 Ph: (870) 489-1592 |
Benjamin Mizell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316 | |
Dr. Ethan Taylor Lewis, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12921 Cantrell Rd, Little Rock, AR 72223 Phone: 501-615-8296 | |
Kasia Pabian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2018 N Garfield St, Little Rock, AR 72207 Phone: 501-614-9998 Fax: 501-325-1491 | |
John W Woodell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 N Rodney Parham Rd, No 203, Little Rock, AR 72212 Phone: 615-620-2320 Fax: 615-620-2323 | |
Barbara C Lenarduzzi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11401 Interstate 30, Little Rock, AR 72209 Phone: 501-455-7100 | |
Brent Anthony Lea, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 515, Little Rock, AR 72205 Phone: 501-686-6114 Fax: 501-686-8139 | |
Anthony L Bridges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316 |