| Evan Cook, | |
|
3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | |
| (479) 225-2699 | |
| Not Available |
| Full Name | Evan Cook |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 3215 N Northhills Blvd, Fayetteville, Arkansas |
| 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 |
|---|---|---|---|
| 1750127015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R103213 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 230421 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Anesthesia Of Arkansas Professional Corporation | 6406077460 | 61 |
| Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Cook, 885 E Township St, Fayetteville, AR 72703-3452 Ph: (479) 225-2699 | Evan Cook, 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 Ph: (479) 225-2699 |
Amanda Lavon Delsoto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3271 Wimberly Dr, Fayetteville, AR 72703 Phone: 479-713-6100 | |
Kelsey Erin Van Slyke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-1000 | |
Mr. Charles Arthur Mccutchen Sr., C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3873 N Parkview Dr, Fayetteville, AR 72703 Phone: 479-527-0050 | |
Victor Pribislavski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3394 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-582-3360 Fax: 479-582-3466 | |
Heather Pribislavski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 501-690-2708 | |
James Berry, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3318 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-872-1294 | |
Bradley Tow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 770-643-5619 |