| Billy Jack Premo, CRNA | |
|
2825 Parklawn Dr, Midwest City, OK 73110-4201 | |
| (405) 360-7576 | |
| Not Available |
| Full Name | Billy Jack Premo |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2825 Parklawn Dr, Midwest City, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003839911 | NPI | - | NPPES |
| 430001523 | Other | OK | MEDICARE PIN |
| 731189454001 | Other | OK | BCBS |
| 100781950A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0025846 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Billy Jack Premo, CRNA Po Box 10979, Midwest City, OK 73140-1979 Ph: (405) 360-7576 | Billy Jack Premo, CRNA 2825 Parklawn Dr, Midwest City, OK 73110-4201 Ph: (405) 360-7576 |
Verle Robert Garnos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8121 National Ave, Midwest City, OK 73110 Phone: 405-732-7905 Fax: 405-360-7762 | |
Mr. Peter George Wipfli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 | |
Gerald Joseph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 | |
Mr. James Kenneth Randall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 | |
Patrick Todd Liggitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Surgery Department, Midwest City, OK 73110 Phone: 405-559-3535 Fax: 405-843-2077 | |
Olusegun Osundele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-8363 |