| Agbortambeng Enoweyere, | |
|
430 N Monte Vista St, Ada, OK 74820-4657 | |
| (580) 332-2323 | |
| Not Available |
| Full Name | Agbortambeng Enoweyere |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 430 N Monte Vista St, Ada, Oklahoma |
| 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 |
|---|---|---|---|
| 1831963834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 215732 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Hospitals Of Providence - East Campus | El paso, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bhs Physicians Network, Inc | 7315019593 | 629 |
| Entity Name | Bhs Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598958431 PECOS PAC ID: 7315019593 Enrollment ID: O20080703000069 |
| Entity Name | Lone Star Anesthesia Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124760996 PECOS PAC ID: 4880072636 Enrollment ID: O20220607000810 |
| Mailing Address | Practice Location Address |
|---|---|
| Agbortambeng Enoweyere, 4007 Magnolia Ridge Dr, Melissa, TX 75454-0314 Ph: (405) 881-9965 | Agbortambeng Enoweyere, 430 N Monte Vista St, Ada, OK 74820-4657 Ph: (580) 332-2323 |
Johnny J Sacco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Tina S Johnston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Mr. Mark E. Bucher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5354 | |
Gerald E Joseph, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5354 | |
Jerry Gregory, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6258 | |
Carol Lynn Rhoads, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1921 Stonecipher Dr, Chickasaw Nation Health System, Ada, OK 74820 Phone: 580-421-6248 | |
Blake Lynn Wilson, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5582 |