| Dr Preston Broadhead, DNP, CRNA | |
|
6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | |
| (214) 687-0001 | |
| Not Available |
| Full Name | Dr Preston Broadhead |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 6225 N State Highway 161 Ste 200, Irving, Texas |
| 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 |
|---|---|---|---|
| 1891379541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-150274 (Alabama) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1046379 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Stillwater Medical Center | Stillwater, OK | Hospital |
| Goshen Hospital | Goshen, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Davis Anesthesia, Llc | 8022269596 | 2 |
| Stillwater Medical Center Authority | 2365353794 | 166 |
| Australia Anesthesia Management Llc | 9436671864 | 57 |
| Orthomed Staffing Llc | 9638429178 | 364 |
| Grasshopper Anesthesia Services Pllc | 3072882315 | 67 |
| Entity Name | Davis Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801148655 PECOS PAC ID: 8022269596 Enrollment ID: O20121109000064 |
| Entity Name | Magnolia Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912699257 PECOS PAC ID: 3971963000 Enrollment ID: O20230720001208 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Preston Broadhead, DNP, CRNA 6203 Lost Creek Dr, Texarkana, TX 75503-0905 Ph: () - | Dr Preston Broadhead, DNP, CRNA 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 |
Phillip Howard Chapman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Dr. Shaquitta Nicole Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 N Macarthur Blvd, Irving, TX 75039 Phone: 972-969-2000 | |
Deborah R. Grieder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Sara Morgan Benson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Brian Boone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Judith A Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Mr. Jacob D Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N. Macarthur Boulevard, Suite 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 |