| Benedict Castanares Novicio, CRNA | |
|
500 W 4th St, Odessa, TX 79761-5001 | |
| (432) 640-2408 | |
| (432) 640-2190 |
| Full Name | Benedict Castanares Novicio |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 500 W 4th St, Odessa, 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 |
|---|---|---|---|
| 1003118654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 004588 (Connecticut) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP128159 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Hospital | Odessa, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mch Professional Care Hospital Based | 1557535127 | 72 |
| Entity Name | Mch Professional Care Hospital Based |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447547773 PECOS PAC ID: 1557535127 Enrollment ID: O20111116000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Benedict Castanares Novicio, CRNA Po Box 2129, Odessa, TX 79760-2129 Ph: (432) 640-2408 | Benedict Castanares Novicio, CRNA 500 W 4th St, Odessa, TX 79761-5001 Ph: (432) 640-2408 |
Bonnie Longnecker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-332-0929 | |
Scott Madewell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-334-8088 Fax: 432-580-7202 | |
Mr. Brooks Ross Greger Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 419 W 5th St, Odessa, TX 79761 Phone: 432-640-2401 | |
Charles Richard Fox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-334-8088 Fax: 432-580-7202 | |
Jordan Crumrine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-332-0929 Fax: 888-575-9993 | |
John W Presley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-4606 |