| Edgar Milam, CRNA | |
|
1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | |
| (254) 935-4000 | |
| (254) 935-4111 |
| Full Name | Edgar Milam |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 42 Years |
| Location | 1901 Sw H K Dodgen Loop, Temple, 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 |
|---|---|---|---|
| 1154359545 | NPI | - | NPPES |
| 4134284 | Other | TN | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 65047 (Texas) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN65047 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Physicians Centre,the | Bryan, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 666 |
| Cowboy Anesthesia Services Pllc | 4385868512 | 4 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Cowboy Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225459878 PECOS PAC ID: 4385868512 Enrollment ID: O20140610000631 |
| Entity Name | Grasshopper Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932635752 PECOS PAC ID: 3072882315 Enrollment ID: O20170630000438 |
| Entity Name | Crockett Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487155990 PECOS PAC ID: 3173884152 Enrollment ID: O20180316002045 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Milam, CRNA P.o. Box 844658, Dallas, TN 75284-4658 Ph: () - | Edgar Milam, CRNA 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 Ph: (254) 935-4000 |
Mr. Nicholas Grant Smith, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76504 Phone: 254-724-2111 | |
Veronica Resendez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 Fax: 254-724-7603 | |
Justin Robert Anders, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Joshua Joseph Philippon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 Fax: 254-724-7603 | |
Clarence E. Grunden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1905 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-298-2682 Fax: 254-778-7197 | |
Maelen Bernasor, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Violeta Maier Hutson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |