| Jason Michael Richardson, CRNA | |
|
900 17th St, Woodward, OK 73801-2448 | |
| (580) 256-5511 | |
| Not Available |
| Full Name | Jason Michael Richardson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 900 17th St, Woodward, Oklahoma |
| 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 |
|---|---|---|---|
| 1043603038 | NPI | - | NPPES |
| 200583140A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 103888 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alliancehealth Woodward | Woodward, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integral Anesthesia Llc | 9638461973 | 96 |
| Lake Granbury Hospital-based Professional Services | 3971940966 | 37 |
| Entity Name | Southern Oklahoma Surgical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699767210 PECOS PAC ID: 4082514708 Enrollment ID: O20040109000879 |
| Entity Name | Newman Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617807 PECOS PAC ID: 2567482367 Enrollment ID: O20051122000749 |
| Entity Name | Integral Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881041515 PECOS PAC ID: 9638461973 Enrollment ID: O20160707001409 |
| Entity Name | Western Oklahoma Anesthesia Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663 |
| Entity Name | Anesthesia Management Solutions Of Oklahoma Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003375650 PECOS PAC ID: 7618219213 Enrollment ID: O20190501001353 |
| Entity Name | Western Oklahoma Anesthesia Consultants Woodward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Michael Richardson, CRNA Po Box 1983, Ardmore, OK 73402-1983 Ph: (580) 226-1251 | Jason Michael Richardson, CRNA 900 17th St, Woodward, OK 73801-2448 Ph: (580) 256-5511 |
Ms. Jeannean Joy Jent, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 17th St, Woodward, OK 73801 Phone: 580-256-5511 | |
Mrs. Marisa Chaffee Endersby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 17th St, Woodward, OK 73801 Phone: 580-254-8688 | |
Patsy S Bynum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 17th St, Woodward, OK 73801 Phone: 580-254-8694 | |
Justin Tate Endersby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 17th St, Woodward, OK 73801 Phone: 580-254-8492 | |
L Ann Farrar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 17th Street, Woodward, OK 73801 Phone: 580-254-8694 |