Shannon D Eldridge, CRNA | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
(702) 653-3550 | |
Not Available |
Full Name | Shannon D Eldridge |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
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 |
---|---|---|---|
1710218821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 675067 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP118773 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Texas Medical Center | Gainesville, TX | Hospital |
Texoma Medical Center | Denison, TX | Hospital |
Valley Regional Medical Center | Brownsville, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Ii Pa | 2365701737 | 21 |
Standard Anesthesia, Pllc | 1254616428 | 17 |
Entity Name | Standard Anesthesia, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922546159 PECOS PAC ID: 1254616428 Enrollment ID: O20170330002103 |
Entity Name | Northstar Anesthesia Ii Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
Entity Name | Sportsortho Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639813447 PECOS PAC ID: 0840675690 Enrollment ID: O20220915001470 |
Mailing Address | Practice Location Address |
---|---|
Shannon D Eldridge, CRNA 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3550 | Shannon D Eldridge, CRNA 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3550 |
Dr. Kenneth Narayan, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Steven M Sertich, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2392 | |
William N Clark, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3550 | |
Andrew Lester C Chua, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3550 | |
Joshua William Boyle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3550 | |
Ms. Joanne K Heins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3526 | |
Girah Diveka Caraballo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 |