| Dustin Vidrine, | |
|
1500 Citywest Blvd, Ste. 300, Houston, TX 77042-2300 | |
| (972) 233-1999 | |
| (972) 233-3666 |
| Full Name | Dustin Vidrine |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 1500 Citywest Blvd, Houston, 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 |
|---|---|---|---|
| 1114084431 | NPI | - | NPPES |
| 8694UM | Other | TX | BCBS |
| P01246272 | Other | TX | RAIL ROAD |
| 187060202 | Medicaid | TX | |
| 8330UE | Other | TX | BCBS |
| 75-1976930-005 | Other | TX | TRICARE |
| 187060205 | Medicaid | TX | |
| 187060203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP115519 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mother Frances Hospital Regional Health Care Center | 9234025636 | 111 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Christus Good Shepherd Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760908404 PECOS PAC ID: 3779565544 Enrollment ID: O20040604000400 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Vidrine, Po Box 650865, Dallas, TX 75265-0865 Ph: (972) 233-1999 | Dustin Vidrine, 1500 Citywest Blvd, Ste. 300, Houston, TX 77042-2300 Ph: (972) 233-1999 |
Editha A Flemming, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000 | |
Danielle Therese George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229 | |
Ryann Hattori, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Rodrique Dewyane Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229 | |
Pedro Napoles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Suite 300, Houston, TX 77042 Phone: 972-715-5000 Fax: 972-715-9976 | |
Alyssa Estill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000 | |
Thomas Kyle Reynolds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7200 Cambridge St Fl 10, Houston, TX 77030 Phone: 713-798-1750 Fax: 713-798-4693 |