| David Edward Carlisle, CRNA | |
|
1 Medical Park Dr, Benton, AR 72015-3353 | |
| (501) 776-6693 | |
| Not Available |
| Full Name | David Edward Carlisle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 1 Medical Park Dr, Benton, Arkansas |
| 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 |
|---|---|---|---|
| 1740548783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CTP-00197 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C002926 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthoarkansas Pa | 1456256031 | 136 |
| Arkansas Surgical Hospital Llc | 5496793390 | 36 |
| Entity Name | Orthoarkansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952336869 PECOS PAC ID: 1456256031 Enrollment ID: O20031205000490 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
| Entity Name | Arkansas Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497023360 PECOS PAC ID: 6406023142 Enrollment ID: O20120119000835 |
| Entity Name | Bp Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942736285 PECOS PAC ID: 8325319429 Enrollment ID: O20170808002928 |
| Entity Name | Premier Gastroenterology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538663729 PECOS PAC ID: 1153685474 Enrollment ID: O20180514000249 |
| Entity Name | Arkansas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1265192835 PECOS PAC ID: 5496793390 Enrollment ID: O20220628002353 |
| Mailing Address | Practice Location Address |
|---|---|
| David Edward Carlisle, CRNA 1 Medical Park Dr, Benton, AR 72015-3353 Ph: (501) 776-6693 | David Edward Carlisle, CRNA 1 Medical Park Dr, Benton, AR 72015-3353 Ph: (501) 776-6693 |
Mrs. Lindy Sanders Page, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4406 Catskill Ave, Benton, AR 72019 Phone: 501-786-3360 | |
Bradley Allen Pitts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6093 | |
Billie Brewer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6000 |