| Brian Koonce, CRNA | |
|
7150 Clearvista Dr, Indianapolis, IN 46256-1695 | |
| (317) 621-5890 | |
| Not Available |
| Full Name | Brian Koonce |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 7150 Clearvista Dr, Indianapolis, Indiana |
| 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 |
|---|---|---|---|
| 1326036070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28303478A (Indiana) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | R0081970 (Oklahoma) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carson Tahoe Physician Hospital Organization, Llc | 8628465721 | 32 |
| Entity Name | Carson Tahoe Regional Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255360160 PECOS PAC ID: 1759284862 Enrollment ID: O20040128000187 |
| Entity Name | Carson Tahoe Physician Hospital Organization, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063169829 PECOS PAC ID: 8628465721 Enrollment ID: O20220419002777 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Koonce, CRNA 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: (317) 621-7547 | Brian Koonce, CRNA 7150 Clearvista Dr, Indianapolis, IN 46256-1695 Ph: (317) 621-5890 |
Robert Beyerlein, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 Fax: 317-621-7884 | |
Kyley Struck, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Samantha L Dugan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-274-0275 | |
John Patrick Haltom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-274-0275 | |
Forrest Chadwick Dunnahoo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Dr. Sydney Ann Bramlett, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Jason T Whitefoot, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 |