| Melanie Black, CRNA | |
|
1004 S Rock St, Georgetown, TX 78626-5837 | |
| (512) 374-1876 | |
| (512) 371-8788 |
| Full Name | Melanie Black |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 1004 S Rock St, Georgetown, 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 |
|---|---|---|---|
| 1396007373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 705859 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St David's Medical Center | Austin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Pa | 7315907128 | 202 |
| 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 | 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 | Austin Gastroenterology Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427405810 PECOS PAC ID: 6305138603 Enrollment ID: O20160707000274 |
| Entity Name | Northstar Anesthesia Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200422002521 |
| Entity Name | Ad Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730959966 PECOS PAC ID: 5294171823 Enrollment ID: O20240306000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Black, CRNA 1106 San Augustine Dr, Austin, TX 78733-2562 Ph: (828) 423-4354 | Melanie Black, CRNA 1004 S Rock St, Georgetown, TX 78626-5837 Ph: (512) 374-1876 |
Spring Hintermeister, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Scenic Dr, Georgetown, TX 78626 Phone: 512-943-3000 | |
Rhonda Hobbs Morris, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1004 South Rock Street, Easter Medical Staffing, Georgetown, TX 78626 Phone: 512-374-1876 Fax: 512-371-8788 | |
Michelle Marie Gaines, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1004 S Rock St, Georgetown, TX 78626 Phone: 512-374-1876 | |
Sonya Joy Londa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 South Rock Street, Easter Medical Staffing, Georgetown, TX 78626 Phone: 512-374-1876 Fax: 512-371-8788 | |
Drew Darby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 S Rock St, Georgetown, TX 78626 Phone: 512-279-0348 | |
Suzanne S Sparks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Big Oak Ln, Georgetown, TX 78633 Phone: 817-946-3397 |