| Mr Samuel Lance Ogle, CRNA | |
|
1601 New Castle Rd, Forrest City, AR 72335-2218 | |
| (870) 261-0513 | |
| (870) 261-0535 |
| Full Name | Mr Samuel Lance Ogle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 34 Years |
| Location | 1601 New Castle Rd, Forrest City, 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 |
|---|---|---|---|
| 1710946736 | NPI | - | NPPES |
| 122249701 | Medicaid | AR | |
| 5S391 | Other | AR | ARKANSAS BLUE CROSS BLUE SHIELD |
| 1710946736 | Other | AR | BAPTIST HEALTH SERVICES GROUP, INC. |
| 1710946736 | Other | AR | TRI-CARE - SOUTH REGION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C00837 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Anesthesia Solutions Of Arkansas, Llc | 5395159313 | 54 |
| Entity Name | Ceola Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679585624 PECOS PAC ID: 9830277110 Enrollment ID: O20080428000349 |
| Entity Name | Taylor Surgery Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740738897 PECOS PAC ID: 2163601675 Enrollment ID: O20110128000551 |
| Entity Name | Kevin Hannah Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902414584 PECOS PAC ID: 9436560075 Enrollment ID: O20201202002832 |
| 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 Samuel Lance Ogle, CRNA Po Box 771522, Memphis, TN 38177-1522 Ph: (901) 747-4624 | Mr Samuel Lance Ogle, CRNA 1601 New Castle Rd, Forrest City, AR 72335-2218 Ph: (870) 261-0513 |
Ms. Irma N Jenkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 New Castle Rd, Forrest City, AR 72335 Phone: 870-261-0513 Fax: 870-261-0126 | |
Ramona Anquenette Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 New Castle Rd, Forrest City, AR 72335 Phone: 870-261-0513 Fax: 901-261-2542 | |
Mrs. Jennifer S Morris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 New Castle Rd, Forrest City, AR 72335 Phone: 870-261-0513 Fax: 870-261-0535 | |
Mr. Billy Don Sanders, C.R.N.A. , M.S.N. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Newcastle Road, Forrest City, AR 72335 Phone: 870-261-0000 Fax: 870-261-0405 |