| Mr Jean Gabriel Richard, CRNA | |
|
200 2nd Ave Sw, Miami, OK 74354-6830 | |
| (918) 540-7520 | |
| (918) 540-7533 |
| Full Name | Mr Jean Gabriel Richard |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 200 2nd Ave Sw, Miami, 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 |
|---|---|---|---|
| 1295712420 | NPI | - | NPPES |
| 166648902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 98467 (Oklahoma) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 674661 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Anesthesia Services, Llc | 0042587842 | 22 |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Entity Name | Anesthesia Associates Of Grand Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841525193 PECOS PAC ID: 5597803353 Enrollment ID: O20091116000357 |
| Entity Name | Deaconess Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912432048 PECOS PAC ID: 0042587842 Enrollment ID: O20170526001532 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jean Gabriel Richard, CRNA 5300 N Independence Ave Ste 280, Oklahoma City, OK 73112-5555 Ph: (918) 540-7520 | Mr Jean Gabriel Richard, CRNA 200 2nd Ave Sw, Miami, OK 74354-6830 Ph: (918) 540-7520 |
Edward Lynn Sommerhauser, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-542-6611 Fax: 918-787-3864 | |
Ronald G Sturgeon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7520 | |
Joey Shane Adams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7520 Fax: 918-540-7533 | |
Randall Watson Brady, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-542-6611 Fax: 918-787-3635 | |
Brittany M Turner, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7520 Fax: 918-540-7533 |