| Glenda J Conn, CRNA | |
|
3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | |
| (918) 333-3830 | |
| (918) 333-3846 |
| Full Name | Glenda J Conn |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3500 E Frank Phillips Blvd, Bartlesville, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952587057 | NPI | - | NPPES |
| P00474503 | Other | OK | RR MEDICARE |
| 200131850A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0047065 (Oklahoma) | Primary |
| Entity Name | St. John Anesthesia Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
| Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenda J Conn, CRNA Po Box 3456, Bartlesville, OK 74006-3456 Ph: (918) 333-3830 | Glenda J Conn, CRNA 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 Ph: (918) 333-3830 |
Mrs. Regina M Mellen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Jpmc Anesthesia Department, 3500 East Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 | |
Stanley Glendal Foster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 | |
Mr. Donald A Desalvo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-333-1695 | |
Gary L Martin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3500 E Frank Phillips Blvd, Jpmc Anesthesia Dept, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 | |
Krystle Nicole Cirstea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 313-673-5984 |