| Michael Bagwell, ARNP | |
|
950 N 14th St, Beaumont, TX 77702-1111 | |
| (409) 898-6485 | |
| Not Available |
| Full Name | Michael Bagwell |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 950 N 14th St, Beaumont, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679510895 | NPI | - | NPPES |
| G3758 | Other | FL | BCBS NON PAR NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-040392 (Alabama) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 536442 (Texas) | Secondary |
| Entity Name | Bahec Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497079701 PECOS PAC ID: 2668503368 Enrollment ID: O20100624000341 |
| 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 |
|---|---|
| Michael Bagwell, ARNP 950 N 14th St, Beaumont, TX 77702-1111 Ph: (409) 898-6485 | Michael Bagwell, ARNP 950 N 14th St, Beaumont, TX 77702-1111 Ph: (409) 898-6485 |
Mrs. Bonni Blue Stancoven, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Mrs. Ashley Lynn Billot, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-838-5214 | |
Steven Chad Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 Fax: 409-838-1946 | |
Derek Chambless, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Mr. Selby Reed Thames, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St Ste P3600, Beaumont, TX 77702 Phone: 469-437-3564 Fax: 469-825-6903 | |
Thomas Maddox, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Keli Ardoin Williams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 755 N 11th St, Suite P 3600, Beaumont, TX 77702 Phone: 409-838-5214 |