| Crystal Sustaita, CRNA | |
|
3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | |
| (325) 949-9511 | |
| Not Available |
| Full Name | Crystal Sustaita |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 3501 Knickerbocker Rd, San Angelo, 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 |
|---|---|---|---|
| 1386012037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 746452 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Medical Center | San angelo, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | Ect Anesthesia Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467980706 PECOS PAC ID: 8628493947 Enrollment ID: O20200804001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Sustaita, CRNA 3605 Executive Dr, San Angelo, TX 76904-6884 Ph: (325) 949-9555 | Crystal Sustaita, CRNA 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 949-9511 |
Shari L. Rogler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 | |
Shayla Cue, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
Mr. Michael Rochin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-947-6616 | |
Ms. Patricia T Manning, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 Fax: 325-481-2166 | |
Kristine Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555 | |
Joe Riley Mcfarland, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555 |