| Jon S Fannin, CRNA | |
|
710 Water St, Kerrville, TX 78028-5329 | |
| (830) 896-1344 | |
| Not Available |
| Full Name | Jon S Fannin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 710 Water St, Kerrville, Texas |
| 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 |
|---|---|---|---|
| 1376582551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R43299 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern New Mexico Medical Center | Roswell, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 167 |
| Entity Name | Main Street Anesthesia Of New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon S Fannin, CRNA 420 Water St, 105-b, Kerrville, TX 78028-5200 Ph: (830) 896-1344 | Jon S Fannin, CRNA 710 Water St, Kerrville, TX 78028-5329 Ph: (830) 896-1344 |
James R Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 | |
David L Stoddard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 | |
James T Papesca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 420 Water St Ste 105b, Kerrville, TX 78028 Phone: 830-896-1344 | |
Patrick Reidy Lower, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 | |
Genevieve C Thomas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 420 Water St, #105-b, Kerrville, TX 78028 Phone: 830-896-1344 Fax: 830-896-1363 | |
Lisa L Solder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-7828 |