Theresa Ann Shepard, CRNA | |
6606 Lbj Fwy, Suite 200, Dallas, TX 75240 | |
(972) 715-5000 | |
(972) 715-9976 |
Full Name | Theresa Ann Shepard |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 6606 Lbj Fwy, Dallas, 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 |
---|---|---|---|
1396781993 | NPI | - | NPPES |
P01446646 | Other | TX | RR |
180369408 | Medicaid | TX | |
8520UJ | Other | TX | BCBS |
86137U | Other | TX | BLUE CROSS & BLUE SHIELD |
180369401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 724516 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 11008206 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shands Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Entity Name | Us Anesthesia Partners Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
Entity Name | Sunshine State Anesthesia Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
Mailing Address | Practice Location Address |
---|---|
Theresa Ann Shepard, CRNA Po Box 840853, Dallas, TX 75284-0853 Ph: (972) 715-5000 | Theresa Ann Shepard, CRNA 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 Ph: (972) 715-5000 |
Mrs. Charity Cabrera Magcalas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Jennie A Potts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13601 Preston Rd, 1000w, Dallas, TX 75240 Phone: 972-715-5000 | |
Eric Lara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5200 Harry Hines Blvd, Dallas, TX 75235 Phone: 469-419-2850 | |
Ms. Justina Osagioduwa Nwokedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976 | |
Lauren Carter Segerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Hannah Neipp Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Jeannie K Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976 |