| Jasilin Hall, CRNA | |
| 
					5501 N Portland Ave, Oklahoma City, OK 73112-2074  | |
| (405) 604-6000 | |
| Not Available | 
| Full Name | Jasilin Hall | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 5501 N Portland Ave, Oklahoma City, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023689635 | NPI | - | NPPES | 
| R0129703 | Other | OK | OK RN LICENSE | 
| RN738381 | Other | PA | PA RN LICENSE | 
| 215053 | Other | OK | APRN-CRNA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN738381 (Pennsylvania) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 215053 (Oklahoma) | Primary | 
| Entity Name | Deaconess Anesthesia Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912432048 PECOS PAC ID: 0042587842 Enrollment ID: O20170526001532  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jasilin Hall, CRNA 5501 N Portland Ave, Oklahoma City, OK 73112-2074 Ph: () -  | Jasilin Hall, CRNA 5501 N Portland Ave, Oklahoma City, OK 73112-2074 Ph: (405) 604-6000  | 
Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351  | |
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695  | |
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000  | |
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Ne 85th St, Oklahoma City, OK 73114 Phone: 405-631-3085 Fax: 405-616-2679  | |
Ivan Kozhulenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695  | |
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612  |