| Brenda Wallis, CRNA | |
|
505 S John Redditt Dr, Lufkin, TX 75904-3120 | |
| (936) 639-3036 | |
| (936) 639-3064 |
| Full Name | Brenda Wallis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 505 S John Redditt Dr, Lufkin, Texas |
| 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 |
|---|---|---|---|
| 1477579688 | NPI | - | NPPES |
| 84275U | Other | TX | BCBS |
| 84279U | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 072151 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deep East Texas Anesthesia | 3971906587 | 5 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Deep East Texas Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942879580 PECOS PAC ID: 3971906587 Enrollment ID: O20210720002466 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Wallis, CRNA Po Box 151736, Lufkin, TX 75915-1736 Ph: () - | Brenda Wallis, CRNA 505 S John Redditt Dr, Lufkin, TX 75904-3120 Ph: (936) 639-3036 |
Chad Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Sloan Ln, Lufkin, TX 75901 Phone: 936-465-4196 | |
Daniel Testyon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-3036 Fax: 936-639-3064 | |
Wendy Jo Plum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3009 S John Redditt Dr # 168, Lufkin, TX 75904 Phone: 808-222-1712 | |
Ms. Zeata May Rowe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-7900 | |
Jason Todd Nix, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-3036 Fax: 936-639-3064 | |
William Havens Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-3036 Fax: 936-639-3064 | |
Jacob Sapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 214-932-1030 |