| Brian Dale Mackey, CRNA | |
|
21899 Marbella Dr, Edmond, OK 73012-0925 | |
| (405) 501-4244 | |
| Not Available |
| Full Name | Brian Dale Mackey |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 21899 Marbella Dr, Edmond, Oklahoma |
| 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 |
|---|---|---|---|
| 1134158652 | NPI | - | NPPES |
| 200095860A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0085277 (Oklahoma) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN094116 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oklahoma Center For Orthopaedic & Multi-sp | Oklahoma city, OK | Hospital |
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grasshopper Anesthesia Services Pllc | 3072882315 | 70 |
| Emergenchealth Pllc | 1355606641 | 1037 |
| Orthomed Staffing Llc | 9638429178 | 373 |
| Entity Name | Hpi Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205152600 PECOS PAC ID: 6406048289 Enrollment ID: O20101012000705 |
| Entity Name | Orthomed Staffing LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20230914002918 |
| Entity Name | Grasshopper Anesthesia Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932635752 PECOS PAC ID: 3072882315 Enrollment ID: O20250107002626 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Dale Mackey, CRNA 21899 Marbella Dr, Edmond, OK 73012-0925 Ph: Not Available | Brian Dale Mackey, CRNA 21899 Marbella Dr, Edmond, OK 73012-0925 Ph: (405) 501-4244 |
Cory Watson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4801 Integris Pkwy, Edmond, OK 73034 Phone: 405-657-3000 |
Travis Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3324 French Park Dr, Suite D, Edmond, OK 73034 Phone: 405-715-3610 Fax: 405-715-3612 |
Dr. Alexander Inkhamheng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4801 Integris Pkwy, Edmond, OK 73034 Phone: 405-657-3000 |
Kayla Marie Spaulding, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 S Bryant Ave, Edmond, OK 73034 Phone: 405-314-6100 |