| Mackenzie D Sullivan, CRNA | |
|
801 N Bedell Ave, Del Rio, TX 78840-4112 | |
| (830) 778-3781 | |
| Not Available |
| Full Name | Mackenzie D Sullivan |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 801 N Bedell Ave, Del Rio, 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 |
|---|---|---|---|
| 1023525532 | NPI | - | NPPES |
| 380723201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP136337 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Val Verde Regional Medical Center | Del rio, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Val Verde Hospital Corporation | 0941112023 | 32 |
| Entity Name | U S Anesthesia Partners Of Texas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Entity Name | Consultants In Pain Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215968235 PECOS PAC ID: 2163492786 Enrollment ID: O20040729001085 |
| Entity Name | Val Verde Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639239239 PECOS PAC ID: 0941112023 Enrollment ID: O20041006001392 |
| Entity Name | Endo Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie D Sullivan, CRNA Po Box 1527, Del Rio, TX 78841-1527 Ph: () - | Mackenzie D Sullivan, CRNA 801 N Bedell Ave, Del Rio, TX 78840-4112 Ph: (830) 778-3781 |
Ms. Ledana Ruth Zadorozny, CRNA/MS ARNP ED.D. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 801 Bedell, Del Rio, TX 78840 Phone: 830-775-8566 Fax: 830-775-6632 | |
Richard Paul Rogers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 N Bedell Ave, Del Rio, TX 78840 Phone: 830-778-3781 | |
Jeanine Louise Nichols, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 404 Spring St, Del Rio, TX 78840 Phone: 832-600-9703 |