Yesenia Canciobello, CRNA | |
2600 Saint Michael Dr, Texarkana, TX 75503-2372 | |
(903) 614-1000 | |
Not Available |
Full Name | Yesenia Canciobello |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 2600 Saint Michael Dr, Texarkana, 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 |
---|---|---|---|
1457954737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 132166 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1014101 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wadley Regional Medical Center | Texarkana, TX | Hospital |
St Vincent Hot Springs | Hot springs, AR | Hospital |
Titus Regional Medical Center | Mount pleasant, TX | Hospital |
Christus St Michael Health System | Texarkana, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Titus County Hospital District | 0143203257 | 74 |
Christus Health Ark-la-tex | 2264325588 | 47 |
Northstar Anesthesia Pa | 7315907128 | 265 |
Youngs Professional Services Llc | 2163524992 | 148 |
Entity Name | Northstar Anesthesia Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
Entity Name | Christus Health Ark-la-tex |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184623266 PECOS PAC ID: 2264325588 Enrollment ID: O20050324001186 |
Entity Name | Titus County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
Entity Name | Physician Partners Of America Crna Operations Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992129365 PECOS PAC ID: 8022239722 Enrollment ID: O20141022000676 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
Mailing Address | Practice Location Address |
---|---|
Yesenia Canciobello, CRNA 4801 Lionel Ave, Texarkana, TX 75503-0437 Ph: (786) 953-0210 | Yesenia Canciobello, CRNA 2600 Saint Michael Dr, Texarkana, TX 75503-2372 Ph: (903) 614-1000 |
Mr. Brandon Wiley, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 | |
Richard Loeffler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-427-3851 | |
Caleb Allen Bennett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 469-955-9423 | |
Brent Willis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 203 La Grange Dr., Texarkana, TX 75501 Phone: 936-645-5428 | |
Charles David Lummus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 | |
John Matt Hester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 | |
Paul Mitchell James, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 |