| Mackenzie Brubaker, CRNA | |
|
3029 W Main St, Jenks, OK 74037-3465 | |
| (918) 701-2300 | |
| Not Available |
| Full Name | Mackenzie Brubaker |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3029 W Main St, Jenks, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558081166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 210148 (Oklahoma) | Primary |
| Entity Name | Northeastern Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
| Entity Name | Integral Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881041515 PECOS PAC ID: 9638461973 Enrollment ID: O20160707001409 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Brubaker, CRNA 4908 S Juniper Ave, Broken Arrow, OK 74011-4422 Ph: () - | Mackenzie Brubaker, CRNA 3029 W Main St, Jenks, OK 74037-3465 Ph: (918) 701-2300 |
Andrew Mckinley Sledge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3029 W Main St, Jenks, OK 74037 Phone: 918-701-2331 Fax: 918-417-7102 | |
Meagan Pierce, APRN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 512 N Franklin St Ste 100, Jenks, OK 74037 Phone: 800-683-5919 | |
Dr. Frederick Das, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2020 W 109th St S, Jenks, OK 74037 Phone: 918-209-5532 | |
Aaron Daniel Leddy, CRNA, DNP-A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3029 W Main St, Jenks, OK 74037 Phone: 918-701-2300 | |
Bradley Douglas Shay, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 220 S Elm St # 200, Jenks, OK 74037 Phone: 918-403-7144 | |
Dr. Danielle Rae Macias, DNPA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3029 W Main St, Jenks, OK 74037 Phone: 918-701-2300 |