| Lisa D Henderson, CRNA | |
|
302 University Blvd, Round Rock, TX 78665-1032 | |
| (512) 509-0200 | |
| Not Available |
| Full Name | Lisa D Henderson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 302 University Blvd, Round Rock, 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 |
|---|---|---|---|
| 1003898446 | NPI | - | NPPES |
| 152834101 | Medicaid | TX | |
| 152834104 | Medicaid | TX | |
| 88060U | Other | BLUE CROSS | |
| 007150801 | Medicaid | TX | |
| 152834106 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 52984 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St David's Medical Center | Austin, TX | Hospital |
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Lake Granbury Medical Center | Granbury, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 1037 |
| Austin Anesthesiology Group Pllc | 0547256497 | 430 |
| Entity Name | Gonzales Healthcare Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013916287 PECOS PAC ID: 8527963776 Enrollment ID: O20040316001074 |
| 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 | Westlake Anesthesia Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679511307 PECOS PAC ID: 4981607405 Enrollment ID: O20060822000436 |
| 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 | Grasshopper Anesthesia Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932635752 PECOS PAC ID: 3072882315 Enrollment ID: O20170630000438 |
| 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 |
|---|---|
| Lisa D Henderson, CRNA Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Lisa D Henderson, CRNA 302 University Blvd, Round Rock, TX 78665-1032 Ph: (512) 509-0200 |
Caitlin O'connor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 |
Robert Alan Shedore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 S Mays St Ste 201, Round Rock, TX 78664 Phone: 512-244-4272 Fax: 512-244-2895 |
Melanie Maraghy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 S Mays St Ste 201, Round Rock, TX 78664 Phone: 512-244-4272 |
Jana Marlene Ott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 |
Lisa R Masica, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 S Mays St Ste 201, Round Rock, TX 78664 Phone: 512-244-4272 |
Letitia Hedges, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681 Phone: 512-343-2292 |
Thomas J Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 S Mays St Ste 400, Round Rock, TX 78664 Phone: 512-244-4272 Fax: 512-244-2895 |