| Mr Zenon Mercado Iii, CRNA | |
|
110 Shult Dr, Columbus, TX 78934-3016 | |
| (979) 253-0445 | |
| Not Available |
| Full Name | Mr Zenon Mercado Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 110 Shult Dr, Columbus, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235127960 | NPI | - | NPPES |
| 153636907 | Medicaid | TX | |
| 153636908 | Medicaid | TX | |
| 00C21T | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 618405 (Texas) | Primary |
| Entity Name | Cahrmc Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1205164928 PECOS PAC ID: 6608916879 Enrollment ID: O20110330000977 |
| Entity Name | Anesthesia Associates Of Bryan, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558751834 PECOS PAC ID: 1254659378 Enrollment ID: O20150421000717 |
| Entity Name | Woodlands Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093283970 PECOS PAC ID: 4183967540 Enrollment ID: O20190528002370 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Zenon Mercado Iii, CRNA 1005 Lamplight, Alleyton, TX 78935-2152 Ph: (979) 256-7387 | Mr Zenon Mercado Iii, CRNA 110 Shult Dr, Columbus, TX 78934-3016 Ph: (979) 253-0445 |
Brenda S Leonard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 Shult Dr, Columbus, TX 78934 Phone: 979-732-2371 |