| Jacquelyn Breaux, CRNA | |
|
3401 W Gore Blvd, Lawton, OK 73505-6332 | |
| (580) 355-8620 | |
| Not Available |
| Full Name | Jacquelyn Breaux |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 3401 W Gore Blvd, Lawton, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912444555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 106676 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital, Llc | Oklahoma city, OK | Hospital |
| Oklahoma Surgical Hospital, Llc | Tulsa, OK | Hospital |
| Intermountain Health Saint Joseph Hospital | Denver, CO | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Colorado - Denver Pc | 3577073402 | 90 |
| Hpi Physicians Llc | 6406048289 | 48 |
| Integral Anesthesia Llc | 9638461973 | 159 |
| Deaconess Anesthesia Services, Llc | 0042587842 | 21 |
| Portland Anesthesia Services Llc | 8224512512 | 21 |
| Entity Name | Hospitalist Medicine Physicians of Colorado - Denver PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588453575 PECOS PAC ID: 3577073402 Enrollment ID: O20250610002502 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Breaux, CRNA 1208 S 19th St, Chickasha, OK 73018-3812 Ph: Not Available | Jacquelyn Breaux, CRNA 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 355-8620 |
Manju Ani Thankachan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 |
Christine Diane Harbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-9984 |
John D Fitz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-591-1910 Fax: 580-536-2067 |
Virginia J Shaw-scherler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 |
Beth A Allgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 |
Kathleen Marie Feeley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-3277 |
John W Dew Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-591-1910 Fax: 580-536-2067 |