| Jo Elaine Skabo, CRNA | |
|
1721 Analog Dr, Richardson, TX 75081 | |
| (972) 276-6100 | |
| (972) 276-1231 |
| Full Name | Jo Elaine Skabo |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1721 Analog Dr, Richardson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982763900 | NPI | - | NPPES |
| 470862522 | Other | TX | TAX ID |
| 159462401 | Other | TX | MEDICAID GROUP |
| 140910403 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 460908 (Texas) | Primary |
| Entity Name | Clinical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518265966 PECOS PAC ID: 8325217904 Enrollment ID: O20110816000816 |
| Entity Name | Texas Anesthesia Partners, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144673468 PECOS PAC ID: 3870879828 Enrollment ID: O20170406000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Elaine Skabo, CRNA 1721 Analog Dr, Richardson, TX 75081-1944 Ph: (972) 276-6100 | Jo Elaine Skabo, CRNA 1721 Analog Dr, Richardson, TX 75081 Ph: (972) 276-6100 |
I'tavya Eghianruwa, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 507 Salem Dr, Richardson, TX 75080 Phone: 469-288-2590 | |
Samantha Topham, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2221 Lakeside Blvd Ste 600 Richardson Tx 75082, Ste 600, Richardson, TX 75082 Phone: 469-998-7443 | |
Mrs. Kristen Marie Petersen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 339 Ridgebriar Dr, Richardson, TX 75080 Phone: 214-244-1756 | |
Duy Tran, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2221 Lakeside Blvd Ste 600, Richardson, TX 75082 Phone: 469-505-1652 Fax: 469-436-3976 |