| Mr Donald A Desalvo, CRNA | |
|
3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | |
| (918) 331-1555 | |
| (918) 333-1695 |
| Full Name | Mr Donald A Desalvo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 3500 E Frank Phillips Blvd, Bartlesville, Oklahoma |
| 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 |
|---|---|---|---|
| 1649203209 | NPI | - | NPPES |
| 20086500A | Medicaid | OK | |
| 010672601002 | Other | OK | BCBSOK |
| 200086500A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 680876 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R 88186 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renew Medical Group Of Arkansas Ltd | 3173056298 | 129 |
| Entity Name | Billins Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184284291 PECOS PAC ID: 5890025894 Enrollment ID: O20190917003746 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Donald A Desalvo, CRNA Po Box 3456, Bartlesville, OK 74006-3456 Ph: (918) 333-4100 | Mr Donald A Desalvo, CRNA 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 Ph: (918) 331-1555 |
Mrs. Regina M Mellen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Jpmc Anesthesia Department, 3500 East Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 |
Stanley Glendal Foster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 |
Gary L Martin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3500 E Frank Phillips Blvd, Jpmc Anesthesia Dept, Bartlesville, OK 74006 Phone: 918-331-1555 Fax: 918-331-1695 |
Krystle Nicole Cirstea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 313-673-5984 |
Glenda J. Conn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-333-3830 Fax: 918-333-3846 |