| Augustine U Tudeme Jr, CRNA | |
|
5900 Balcones Dr Ste 100, Austin, TX 78731-4298 | |
| (615) 887-3126 | |
| Not Available |
| Full Name | Augustine U Tudeme Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 5900 Balcones Dr Ste 100, Austin, Texas |
| 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 |
|---|---|---|---|
| 1295378115 | NPI | - | NPPES |
| 010101010 | Other | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01010101 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3014637 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiology Services Network Ltd | 8820902794 | 141 |
| Deaconess Hospital, Inc. | 9032021431 | 382 |
| Entity Name | Anesthesiology Services Network Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467 |
| Entity Name | Anesthesia Associates Of Cincinnati, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316945173 PECOS PAC ID: 4789598509 Enrollment ID: O20031117000374 |
| Entity Name | Dayton Anesthesia & Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655 |
| Entity Name | Cgi Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174914352 PECOS PAC ID: 0840518411 Enrollment ID: O20150410000268 |
| Entity Name | Sandusky Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Augustine U Tudeme Jr, CRNA 5900 Balcones Dr Ste 100, Austin, TX 78731-4298 Ph: (615) 887-3126 | Augustine U Tudeme Jr, CRNA 5900 Balcones Dr Ste 100, Austin, TX 78731-4298 Ph: (615) 887-3126 |