| Kevin W Johnson, CRNA | |
|
301 University Blvd, Galveston, TX 77555-5302 | |
| (409) 772-2222 | |
| Not Available |
| Full Name | Kevin W Johnson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 301 University Blvd, Galveston, 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 |
|---|---|---|---|
| 1407844483 | NPI | - | NPPES |
| 002858102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 616186 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Physicians' Hospital | Webster, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Anesthesiology Group Pllc | 0547256497 | 400 |
| Compass Anesthesia Providers, Pllc | 4082040878 | 163 |
| Entity Name | Austin Anesthesiology Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
| Entity Name | Texans Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275733982 PECOS PAC ID: 8820171390 Enrollment ID: O20080207000456 |
| Entity Name | Independent Physicians Network Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396274676 PECOS PAC ID: 5496029407 Enrollment ID: O20170914001408 |
| Entity Name | Dynamic Anesthesia Providers, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346752326 PECOS PAC ID: 0547529596 Enrollment ID: O20180119000344 |
| Entity Name | Compass Anesthesia Providers, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669829750 PECOS PAC ID: 4082040878 Enrollment ID: O20200217000123 |
| Entity Name | Principlemed Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518599943 PECOS PAC ID: 6002234937 Enrollment ID: O20200909002573 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin W Johnson, CRNA 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 772-2222 | Kevin W Johnson, CRNA 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 772-2222 |
Honey Mae Baldoza Doctolero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0890 Fax: 409-772-0885 | |
Mark D Talon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0848 Fax: 409-772-0885 | |
Daniel Aubrey Penton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Tony A Jimenez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Rogelio Bill Fontanilla, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Meredith Tabladillo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 | |
Nancy H Gilman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0848 Fax: 409-772-0885 |