| Mr Brent Alan Sparks, CRNA | |
|
1421 N 7th St, Terre Haute, IN 47807-1005 | |
| (812) 231-4608 | |
| (812) 231-4675 |
| Full Name | Mr Brent Alan Sparks |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 1421 N 7th St, Terre Haute, Indiana |
| 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 |
|---|---|---|---|
| 1518994813 | NPI | - | NPPES |
| 200344100 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28115785A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Union Hospital Inc | Terre haute, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iceland Anesthesia Management Llc | 7618372996 | 55 |
| Cameron Memorial Community Hospital Inc | 9234020835 | 74 |
| Entity Name | Cameron Memorial Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770521478 PECOS PAC ID: 9234020835 Enrollment ID: O20040323001008 |
| Entity Name | Iceland Anesthesia Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brent Alan Sparks, CRNA 4215 Carriage Ln, Terre Haute, IN 47805-8628 Ph: (812) 239-2707 | Mr Brent Alan Sparks, CRNA 1421 N 7th St, Terre Haute, IN 47807-1005 Ph: (812) 231-4608 |
Ravneet Kaur, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 930-800-6122 | |
Robert Lucas Gomez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-237-0211 Fax: 812-237-0182 | |
Rebecca Maupin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021 | |
Dr. Derrianne Michelle Monteiro, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1421 N 7th St, Terre Haute, IN 47807 Phone: 812-231-4608 Fax: 812-231-4675 | |
Mr. John Nathan Neukam, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021 | |
Dr. Megan Gale Engelman, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 317-902-7309 | |
Adam Kynaston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021 |