| Derek Mitchum Lebron-frank, CRNA | |
|
18511 Highlander Medics Street, Wbamc, Fort Bliss, TX 79918 | |
| (915) 569-3213 | |
| Not Available |
| Full Name | Derek Mitchum Lebron-frank |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 18511 Highlander Medics Street, Fort Bliss, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710654074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 133873 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1068499 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional West Medical Center | Scottsbluff, NE | Hospital |
| Au Medical Center | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Nebraska Llc | 2264857135 | 22 |
| Entity Name | Cheyenne County Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487736963 PECOS PAC ID: 1658345657 Enrollment ID: O20050301000906 |
| Entity Name | Northstar Anesthesia Of Nebraska Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578187670 PECOS PAC ID: 2264857135 Enrollment ID: O20200810001420 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Mitchum Lebron-frank, CRNA 6033 Los Pueblos Dr, El Paso, TX 79912-7516 Ph: (719) 209-2446 | Derek Mitchum Lebron-frank, CRNA 18511 Highlander Medics Street, Wbamc, Fort Bliss, TX 79918 Ph: (915) 569-3213 |
Mr. Keith W Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-742-9897 | |
Allen Gladieux, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-742-2273 | |
Kerollos Mina George Girgis, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-569-3213 | |
David James Romaka, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-356-0377 |