| Mohammed Bousofa, CRNA | |
|
1500 Citywest Blvd, Ste. 300, Houston, TX 77042-2300 | |
| (713) 620-4000 | |
| (713) 458-4229 |
| Full Name | Mohammed Bousofa |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1500 Citywest Blvd, Houston, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699165209 | NPI | - | NPPES |
| RR MEDICARE | Other | TX | P01540692 |
| 8157UK | Other | TX | BCBS |
| 345516401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 187091 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP127291 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kingwood Medical Center | Kingwood, TX | Hospital |
| Memorial Hermann Northeast Hospital | Humble, TX | Hospital |
| Tops Surgical Specialty Hospital | Houston, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| U S Anesthesia Partners Of Texas, Pa | 7315850351 | 2470 |
| Northwest Anesthesiology And Pain Services, P.a. | 9638067408 | 88 |
| Orthomed Staffing Pllc | 9638429178 | 239 |
| 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 | Bayou Anesthesia And Pain Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114977139 PECOS PAC ID: 2264329150 Enrollment ID: O20040304000168 |
| Entity Name | Northwest Anesthesiology & Pain Services, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629027511 PECOS PAC ID: 9638067408 Enrollment ID: O20040304001244 |
| Entity Name | Best Choice Anesthesia & Pain Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699015628 PECOS PAC ID: 5496994626 Enrollment ID: O20130620000143 |
| Entity Name | Orthomed Staffing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20180905000794 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Bousofa, CRNA Po Box 840853, Dallas, TX 75284-0865 Ph: (972) 715-5000 | Mohammed Bousofa, CRNA 1500 Citywest Blvd, Ste. 300, Houston, TX 77042-2300 Ph: (713) 620-4000 |
Editha A Flemming, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000 | |
Danielle Therese George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229 | |
Ryann Hattori, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Rodrique Dewyane Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229 | |
Pedro Napoles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Suite 300, Houston, TX 77042 Phone: 972-715-5000 Fax: 972-715-9976 | |
Alyssa Estill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000 | |
Thomas Kyle Reynolds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7200 Cambridge St Fl 10, Houston, TX 77030 Phone: 713-798-1750 Fax: 713-798-4693 |