| Dr Brett Baker, CRNA | |
|
11801 South Fwy, Burleson, TX 76028-7021 | |
| (817) 293-9110 | |
| Not Available |
| Full Name | Dr Brett Baker |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 11801 South Fwy, Burleson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568278067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1189420 (Texas) | Primary |
| Entity Name | Northstar Anesthesia Iii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brett Baker, CRNA 1108 7th Ave Apt 449, Fort Worth, TX 76104-4788 Ph: () - | Dr Brett Baker, CRNA 11801 South Fwy, Burleson, TX 76028-7021 Ph: (817) 293-9110 |
Adan Emanuel Ortiz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Ashley Bolden, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Ms. Patricia Ruth Bahr, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-551-2451 | |
Natalie Christine Taylor, APRN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Justin Scott Bowyer, DNP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Tammy A Smit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 214-684-0496 Fax: 214-687-9344 |