| Marissa Lynn Johnson, CRNA | |
|
1215 E Court St, Seguin, TX 78155-5129 | |
| (830) 379-5867 | |
| (830) 401-4035 |
| Full Name | Marissa Lynn Johnson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 1215 E Court St, Seguin, 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 |
|---|---|---|---|
| 1740256742 | NPI | - | NPPES |
| 312189901 | Medicaid | TX | |
| 178028300 | Other | DOL | |
| 8554UD | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | TBN573224 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endo Sedation Llc | 4789845363 | 270 |
| Entity Name | Anesthesia Associates Of Seguin Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265458673 PECOS PAC ID: 4284620592 Enrollment ID: O20040422000610 |
| 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 |
|---|---|
| Marissa Lynn Johnson, CRNA 1215 E Court St, Seguin, TX 78155-5129 Ph: (830) 379-5867 | Marissa Lynn Johnson, CRNA 1215 E Court St, Seguin, TX 78155-5129 Ph: (830) 379-5867 |
Mr. Michael Richard Mathews Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 E Court St, Seguin, TX 78155 Phone: 830-379-5867 Fax: 830-401-4035 | |
Mr. John Christopher Kipple, APRN, MS, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 E Court St, Seguin, TX 78155 Phone: 830-379-5867 Fax: 830-401-4035 | |
Mrs. Lori L. Whitney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 E Court St, Seguin, TX 78155 Phone: 830-379-5867 Fax: 830-401-4035 | |
Troy Christopher Reed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 E Court St, Seguin, TX 78155 Phone: 810-987-5000 Fax: 810-985-2633 | |
Mr. Mark Wayne Cornell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 E Court St, Seguin, TX 78155 Phone: 830-379-5867 | |
Susan D Findeisen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1215 E Court St, Seguin, TX 78155 Phone: 830-379-5867 Fax: 830-401-4035 | |
Stephen Kelly Schaefer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 E Court St, Seguin, TX 78155 Phone: 830-379-5867 Fax: 830-401-4035 |