Susan M Willis, CRNA | |
7205 Lake Mead Blvd, Arlington, TX 76016-4137 | |
(817) 563-9211 | |
Not Available |
Full Name | Susan M Willis |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 41 Years |
Location | 7205 Lake Mead Blvd, Arlington, Texas |
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 |
---|---|---|---|
1619975448 | NPI | - | NPPES |
126080404 | Medicaid | TX | |
89479C | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 542468 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP101864 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Dallas Medical Center | Dallas, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endo Sedation Llc | 4789845363 | 291 |
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 | Endo Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Mailing Address | Practice Location Address |
---|---|
Susan M Willis, CRNA Po Box 840853 Ste 600, Dallas, TX 75284-4823 Ph: (972) 233-1999 | Susan M Willis, CRNA 7205 Lake Mead Blvd, Arlington, TX 76016-4137 Ph: (817) 563-9211 |
Susan R. Spence, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 E Lamar Blvd, Suite 400, Arlington, TX 76006 Phone: 682-227-6834 Fax: 682-227-6864 | |
Miss Meredith Tate Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 E Lamar Blvd Ste 400, Arlington, TX 76006 Phone: 901-378-2280 | |
Gerald Nyaayo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 707 Highlander Blvd, Arlington, TX 76015 Phone: 817-583-7100 | |
Mrs. Erin Annette Baird, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 E Lamar Blvd, Arlington, TX 76006 Phone: 817-861-3994 | |
Lori A. Chancellor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 E Lamar Blvd, Ste 400, Arlington, TX 76006 Phone: 817-861-3994 Fax: 682-227-6869 | |
Mr. Brannon Leinart, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 E Lamar Blvd, Suite 400, Arlington, TX 76006 Phone: 817-861-3994 | |
Kelly Lee Thompson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5731 Champion Ct, Arlington, TX 76017 Phone: 619-961-6753 |