| Lance Attaway, CRNA | |
|
4100 Summerhill Rd, Texarkana, TX 75503-2732 | |
| (903) 735-9802 | |
| (903) 735-9806 |
| Full Name | Lance Attaway |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 4100 Summerhill Rd, Texarkana, 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 |
|---|---|---|---|
| 1831375096 | NPI | - | NPPES |
| 9759156 | Other | AETNA | |
| 167963001 | Medicaid | AR | |
| 5177420 | Other | CIGNA | |
| 71-0781138 | Other | UNITED HEALTHCARE | |
| 08040014200 | Other | QUALCHOICE | |
| 893156 | Other | HEALTHLINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 851680 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texarkana Gastroenterology Consultants, Pa | 0345212817 | 17 |
| Entity Name | Texarkana Gastroenterology Consultants, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477519056 PECOS PAC ID: 0345212817 Enrollment ID: O20040806000580 |
| 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 | Christus Health Ark-la-tex |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184623266 PECOS PAC ID: 2264325588 Enrollment ID: O20050324001186 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Attaway, CRNA 4100 Summerhill Rd, Texarkana, TX 75503-2732 Ph: (903) 735-9802 | Lance Attaway, CRNA 4100 Summerhill Rd, Texarkana, TX 75503-2732 Ph: (903) 735-9802 |
Mr. Brandon Wiley, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 | |
Richard Loeffler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-427-3851 | |
Caleb Allen Bennett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 469-955-9423 | |
Brent Willis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 203 La Grange Dr., Texarkana, TX 75501 Phone: 936-645-5428 | |
Charles David Lummus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 | |
John Matt Hester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 | |
Paul Mitchell James, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 |