| Jasmine Black, | |
|
6119 Midtown Ave, Ste 201, Little Rock, AR 72205-5313 | |
| (501) 664-4532 | |
| (501) 663-4335 |
| Full Name | Jasmine Black |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 6119 Midtown Ave, Little Rock, Arkansas |
| 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 |
|---|---|---|---|
| 1215359658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R078727 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C003006 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arkansas Surgical Hospital | No little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Surgical Hospital Llc | 5496793390 | 36 |
| Bp Anesthesia, Pllc | 8325319429 | 5 |
| Entity Name | Gastro Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366700890 PECOS PAC ID: 3577727700 Enrollment ID: O20120619000424 |
| Entity Name | Bp Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942736285 PECOS PAC ID: 8325319429 Enrollment ID: O20170808002928 |
| Entity Name | Arkansas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417439944 PECOS PAC ID: 5496793390 Enrollment ID: O20181017000632 |
| Entity Name | Arkansas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1265192835 PECOS PAC ID: 5496793390 Enrollment ID: O20220628002353 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Black, 6119 Midtown Ave, Ste 201, Little Rock, AR 72205-5313 Ph: (501) 664-4532 | Jasmine Black, 6119 Midtown Ave, Ste 201, Little Rock, AR 72205-5313 Ph: (501) 664-4532 |
Benjamin Mizell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316 | |
Dr. Ethan Taylor Lewis, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12921 Cantrell Rd, Little Rock, AR 72223 Phone: 501-615-8296 | |
Kasia Pabian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2018 N Garfield St, Little Rock, AR 72207 Phone: 501-614-9998 Fax: 501-325-1491 | |
John W Woodell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 N Rodney Parham Rd, No 203, Little Rock, AR 72212 Phone: 615-620-2320 Fax: 615-620-2323 | |
Barbara C Lenarduzzi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11401 Interstate 30, Little Rock, AR 72209 Phone: 501-455-7100 | |
Brent Anthony Lea, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 515, Little Rock, AR 72205 Phone: 501-686-6114 Fax: 501-686-8139 | |
Anthony L Bridges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316 |