| Mr Michael Winston Evans, CRNA | |
|
2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | |
| (409) 724-7389 | |
| (409) 853-5917 |
| Full Name | Mr Michael Winston Evans |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 2555 Jimmy Johnson Blvd, Port Arthur, 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 |
|---|---|---|---|
| 1689863045 | NPI | - | NPPES |
| 190753701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 675533 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Medical Center Of Southeast Texas | Port arthur, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Anesthesiology Of Texas Pllc | 1254751407 | 116 |
| Anesthesia Associates Group Pllc | 2264792449 | 46 |
| Entity Name | Anesthesia Associates Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477078202 PECOS PAC ID: 2264792449 Enrollment ID: O20180208000285 |
| Entity Name | Sound Physicians Anesthesiology Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20201009000612 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Winston Evans, CRNA 755 N 11th St, Ste P3600, Beaumont, TX 77702-1515 Ph: (409) 724-7389 | Mr Michael Winston Evans, CRNA 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 Ph: (409) 724-7389 |
Penni L Guidry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Gates Blvd, Port Arthur, TX 77642 Phone: 409-989-5170 | |
Hai T Vu, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 | |
Gavin Vance Bruney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-853-5972 Fax: 337-433-9861 | |
Diem Vo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 | |
John R Taylor, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 |