| Diem Vo, | |
|
2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | |
| (409) 724-7389 | |
| Not Available |
| Full Name | Diem Vo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 2555 Jimmy Johnson Blvd, Port Arthur, 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 |
|---|---|---|---|
| 1639798374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1002047 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Baptist Beaumont Hospital | Beaumont, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vascular Anesthesia Associates Pllc | 0941534770 | 14 |
| Sound Physicians Anesthesiology Of Texas Pllc | 1254751407 | 116 |
| Anesthesia Associates Group Pllc | 2264792449 | 46 |
| Endo Sedation Llc | 4789845363 | 270 |
| 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 | Dynamic Anesthesia Providers, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346752326 PECOS PAC ID: 0547529596 Enrollment ID: O20180119000344 |
| Entity Name | Anesthesia Associates Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477078202 PECOS PAC ID: 2264792449 Enrollment ID: O20180208000285 |
| Entity Name | Vascular Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346706173 PECOS PAC ID: 0941534770 Enrollment ID: O20190627000775 |
| Entity Name | Sound Physicians Anesthesiology Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20201009000612 |
| Entity Name | Modern Anesthesia Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679345045 PECOS PAC ID: 0244682813 Enrollment ID: O20240118004058 |
| Mailing Address | Practice Location Address |
|---|---|
| Diem Vo, 4410 Indian Fall Dr, Port Arthur, TX 77642-2175 Ph: (409) 365-2140 | Diem Vo, 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 Ph: (409) 724-7389 |
Penni L Guidry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Gates Blvd, Port Arthur, TX 77642 Phone: 409-989-5170 | |
Hai T Vu, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 | |
Gavin Vance Bruney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-853-5972 Fax: 337-433-9861 | |
John R Taylor, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 | |
Mr. Michael Winston Evans, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 Fax: 409-853-5917 |