| Mr Justin Slade Bridwell, CRNA | |
|
1200 W Walnut St, Rogers, AR 72756-3546 | |
| (479) 636-0200 | |
| (479) 936-2912 |
| Full Name | Mr Justin Slade Bridwell |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1200 W Walnut St, Rogers, Arkansas |
| 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 |
|---|---|---|---|
| 1407814924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CO1557 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Anesthesia Solutions Of Arkansas, Llc | 5395159313 | 54 |
| Pinnacle Anesthesia Group Pllc | 9537514385 | 7 |
| Entity Name | Ozark Eye Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770624611 PECOS PAC ID: 8123915832 Enrollment ID: O20040227000962 |
| Entity Name | Siloam Springs Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013155431 PECOS PAC ID: 9032275318 Enrollment ID: O20090312000025 |
| Entity Name | Capital Anesthesia Solutions Of Arkansas, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174125876 PECOS PAC ID: 5395159313 Enrollment ID: O20210202001530 |
| Entity Name | Pinnacle Anesthesia Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487358941 PECOS PAC ID: 9537514385 Enrollment ID: O20231013001074 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Slade Bridwell, CRNA Po Box 507, Lowell, AR 72745-0507 Ph: (816) 461-8288 | Mr Justin Slade Bridwell, CRNA 1200 W Walnut St, Rogers, AR 72756-3546 Ph: (479) 636-0200 |
Steven Derek Ceola, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979 | |
Matthew W Shelby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Anesthesia Dept, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979 | |
Helen Leighann Hong, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 | |
Chad Silvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 Fax: 479-338-3056 | |
Dr. Brandon Jay Edmondson, DNAP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 801-500-2475 | |
Julianna Felter, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 | |
Sean P Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912 |