| Brittany Shore, CRNA | |
|
4100 W University Dr, Prosper, TX 75078-3123 | |
| (945) 204-4100 | |
| (682) 885-1903 |
| Full Name | Brittany Shore |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 4100 W University Dr, Prosper, 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 |
|---|---|---|---|
| 1588085856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 763766 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott And White Medical Center Mckinney | Mc kinney, TX | Hospital |
| Baylor Scott And White Surgical Hospital At Sherma | Sherman, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allen Anesthesia Associates | 2264477140 | 79 |
| Endo Sedation Llc | 4789845363 | 270 |
| Texas Ams Pllc | 9133441769 | 78 |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Allen Anesthesia Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265469357 PECOS PAC ID: 2264477140 Enrollment ID: O20050621001239 |
| Entity Name | Endo Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
| Entity Name | Texas Ams Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174926125 PECOS PAC ID: 9133441769 Enrollment ID: O20141209001912 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittany Shore, CRNA Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Brittany Shore, CRNA 4100 W University Dr, Prosper, TX 75078-3123 Ph: (945) 204-4100 |