Johnny J Sacco, CRNA | |
1200 E Pecan St, Altus, OK 73521-6192 | |
(580) 379-5000 | |
(580) 379-5509 |
Full Name | Johnny J Sacco |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 1200 E Pecan St, Altus, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285607838 | NPI | - | NPPES |
009974030 | Medicaid | AL | |
200227680A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1079255 (Alabama) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 94306 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chickasaw Nation Medical Center | Ada, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chickasaw Nation Division Of Health | 8426957523 | 209 |
Entity Name | Chickasaw Nation Division Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
Mailing Address | Practice Location Address |
---|---|
Johnny J Sacco, CRNA 1200 E Pecan St, Altus, OK 73521-6141 Ph: (580) 379-5000 | Johnny J Sacco, CRNA 1200 E Pecan St, Altus, OK 73521-6192 Ph: (580) 379-5000 |
Mr. Michael Orlan Lockhart Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5860 Fax: 580-379-5859 | |
Frances Kay Christopher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-482-4781 Fax: 580-481-2345 | |
Jessica Lanae Poe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 803-795-8605 Fax: 580-379-5859 | |
Mr. Mark Andrew Waterman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5860 | |
Amanda Jean Werneke, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5860 Fax: 580-379-5859 | |
Mark Vincent Vadney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-482-4781 Fax: 580-481-2345 |