| Bailey Danielle Boulware, | |
|
920 Stanton L Young Blvd Ste 1140, Oklahoma City, OK 73104-5036 | |
| (405) 271-4351 | |
| (405) 271-8695 |
| Full Name | Bailey Danielle Boulware |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 920 Stanton L Young Blvd Ste 1140, Oklahoma City, 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 |
|---|---|---|---|
| 1497402515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 208889 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Animas Surgical Hospital, Llc | Durango, CO | Hospital |
| Alliancehealth Midwest | Midwest city, OK | Hospital |
| Hillcrest Hospital South | Tulsa, OK | Hospital |
| Grady Memorial Hospital | Chickasha, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grady Memorial Hospital | 0648175778 | 39 |
| Emergenchealth Pllc | 1355606641 | 666 |
| Animas Surgical Hospital Llc | 0143295428 | 52 |
| Entity Name | Grady Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750370268 PECOS PAC ID: 0648175778 Enrollment ID: O20031203000193 |
| Entity Name | Digestive Disease Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366489213 PECOS PAC ID: 7315939279 Enrollment ID: O20040331001151 |
| Entity Name | Heritage Eye Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1083837926 PECOS PAC ID: 3577641281 Enrollment ID: O20080422000281 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
| Entity Name | Orthomed Staffing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20230914002918 |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Danielle Boulware, 920 Stanton L Young Blvd Ste 1140, Oklahoma City, OK 73104-5036 Ph: (405) 271-4351 | Bailey Danielle Boulware, 920 Stanton L Young Blvd Ste 1140, Oklahoma City, OK 73104-5036 Ph: (405) 271-4351 |
Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351 | |
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000 | |
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Ne 85th St, Oklahoma City, OK 73114 Phone: 405-631-3085 Fax: 405-616-2679 | |
Ivan Kozhulenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Jasilin Hall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000 | |
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612 |