| Jessica Marie Custance, RN | |
|
1400 8th Ave, Fort Worth, TX 76104-4110 | |
| (214) 687-0001 | |
| (972) 518-2100 |
| Full Name | Jessica Marie Custance |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1400 8th Ave, Fort Worth, Texas |
| 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 |
|---|---|---|---|
| 1659980811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 830019 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1027207 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| U S M D Hospital At Arlington L P | Arlington, TX | Hospital |
| Baylor Scott And White Surgical Hospital Fortworth | Fort worth, TX | Hospital |
| Baylor Scott & White All Saints Medical Center Fort Worth | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Iii Pa | 0042630501 | 347 |
| U S Anesthesia Partners Of Texas, Pa | 7315850351 | 2470 |
| Orthomed Staffing Pllc | 9638429178 | 239 |
| Entity Name | U S Anesthesia Partners Of Texas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Noble Anesthesia Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619259553 PECOS PAC ID: 9234303165 Enrollment ID: O20111110000747 |
| Entity Name | Valiant Anesthesia Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588906812 PECOS PAC ID: 5092956243 Enrollment ID: O20130730000861 |
| Entity Name | Arlington Anesthesia Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023483153 PECOS PAC ID: 2860798303 Enrollment ID: O20160310000125 |
| Entity Name | Northstar Anesthesia Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
| Entity Name | Orthomed Staffing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20180905000794 |
| Entity Name | Sound Physicians Anesthesiology Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20201009000612 |
| Entity Name | Northstar Anesthesia Iii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marie Custance, RN Po Box 840853, Dallas, TX 75284-0853 Ph: (214) 687-2100 | Jessica Marie Custance, RN 1400 8th Ave, Fort Worth, TX 76104-4110 Ph: (214) 687-0001 |
Mr. John Paul Schreiner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 S Hulen St Ste 425, Fort Worth, TX 76109 Phone: 817-731-2875 | |
Allyson Evans, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 801-792-5267 | |
Terri D. Kane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4916 Overton Plz, Fort Worth, TX 76109 Phone: 888-804-3000 Fax: 817-334-0235 | |
Ms. Patricia L. Gillum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-882-3680 Fax: 817-878-5135 | |
Erin Lenora Schwarz, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-926-2544 | |
Anthony Casey Randolph, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-920-6864 | |
Roxie Lee Felts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4916 Overton Plz, Fort Worth, TX 76109 Phone: 888-804-3000 Fax: 817-334-0235 |