| Mr Theodore Knox Gregory Ii, CRNA | |
|
719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | |
| (903) 342-5227 | |
| (903) 342-4121 |
| Full Name | Mr Theodore Knox Gregory Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 719 W Coke Road, Winnsboro, 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 |
|---|---|---|---|
| 1801811534 | NPI | - | NPPES |
| 002294902 | Medicaid | TX | |
| 85064U | Other | TX | BLUE CROSS BLUE SHIELD |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Chs Anesthesia Services Group Inc | 5799007324 | 633 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Northstar Anesthesia Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| 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 Theodore Knox Gregory Ii, CRNA 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: () - | Mr Theodore Knox Gregory Ii, CRNA 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Ph: (903) 342-5227 |
Mr. Juan Francisco Quintana, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121 | |
Mr. Eddie L Fontenot, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 719 W Coke Rd, Winnsboro, TX 75494 Phone: 903-707-4768 | |
Mr. Michael Wayne Phillips, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121 |