| Mr Jide Omosewo, CRNA | |
|
1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | |
| (361) 573-6291 | |
| (361) 576-2434 |
| Full Name | Mr Jide Omosewo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 1501 E Mockingbird Ln, Victoria, 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 |
|---|---|---|---|
| 1881991339 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Faith Regional Health Services | Norfolk, NE | Hospital |
| Bakersfield Memorial Hospital | Bakersfield, CA | Hospital |
| Mercy Medical Center | Merced, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coachella Valley Anesthesia A Professional Corporation | 5698131969 | 107 |
| Faith Regional Physician Services Llc | 5193786168 | 166 |
| Entity Name | Anesthesia Services Of San Joaquin Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
| Entity Name | Advanced Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720543762 PECOS PAC ID: 4880936145 Enrollment ID: O20190507001500 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
| Entity Name | Coachella Valley Anesthesia A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jide Omosewo, CRNA 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 Ph: (361) 573-6291 | Mr Jide Omosewo, CRNA 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 Ph: (361) 573-6291 |
Kristina Alexis Whiteley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-582-5728 | |
Ralph Smith, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1501 E Mockingbird Ln, #101, Victoria, TX 77904 Phone: 361-513-6291 Fax: 361-576-2434 | |
Daniel Schlichting, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E Mockingbird Ln Ste 220, Victoria, TX 77904 Phone: 361-573-2481 Fax: 361-576-2434 | |
Danielle Burns, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-573-9181 | |
David J Solis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E Mockingbird Ln, Suite 220, Victoria, TX 77904 Phone: 361-573-6291 Fax: 361-576-2434 | |
Sara A Dornbusch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-573-9181 | |
Mrs. Natalie Dawn Chilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E Mockingbird Lane, #220, Victoria, TX 77904 Phone: 361-573-6291 |