| Blake A Stevenson, CRNA | |
|
327 Medical Park Dr, Bridgeport, WV 26330-9006 | |
| (681) 342-1000 | |
| Not Available |
| Full Name | Blake A Stevenson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 327 Medical Park Dr, Bridgeport, West Virginia |
| 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 |
|---|---|---|---|
| 1902093115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 71616 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Shepherd Health Care System | 9133033764 | 76 |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake A Stevenson, CRNA Po Box 6209, Wheeling, WV 26003-0714 Ph: () - | Blake A Stevenson, CRNA 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-1000 |
Sarah Jessica Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1370 Johnson Ave Ste 102, Bridgeport, WV 26330 Phone: 681-342-3453 Fax: 304-842-2333 | |
Diana Lynn Hackett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2157 Green Valley Rd, Bridgeport, WV 26330 Phone: 304-699-4103 | |
Jean C Coger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Medical Park Dr, Anesthesia Dept, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626 | |
Mr. Kristopher Richard Jangrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Drive, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Glenn M Morales, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-624-2121 | |
Mr. Caleb David Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Christopher Hagedorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 |