| Mrs Jeaniece P Mukherjee, CRNA | |
|
1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 | |
| (817) 348-8600 | |
| Not Available |
| Full Name | Mrs Jeaniece P Mukherjee |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1000 Lipscomb St Ste 110, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407093735 | NPI | - | NPPES |
| 00N47F | Other | TX | MEDICARE GROUP NUMBER |
| 199310708 | Medicaid | TX | |
| 199310702 | Medicaid | TX | |
| 140442853 | Other | TX | CSHCN GROUP NUMBER |
| 199310703 | Other | TX | CSHCN |
| 137345809 | Other | TX | MEDICAID GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 678919 (Texas) | Primary |
| Entity Name | Spine Team Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629082995 PECOS PAC ID: 6507888757 Enrollment ID: O20051230000616 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Endo Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
| Entity Name | Seena Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740676105 PECOS PAC ID: 1153642848 Enrollment ID: O20150605002698 |
| 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 | Sp Pain Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679078075 PECOS PAC ID: 8022360437 Enrollment ID: O20181012002465 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jeaniece P Mukherjee, CRNA Po Box 162835, Fort Worth, TX 76161-2835 Ph: (817) 334-0530 | Mrs Jeaniece P Mukherjee, CRNA 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 Ph: (817) 348-8600 |
Mr. John Paul Schreiner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 S Hulen St Ste 425, Fort Worth, TX 76109 Phone: 817-731-2875 | |
Allyson Evans, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 801-792-5267 | |
Terri D. Kane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4916 Overton Plz, Fort Worth, TX 76109 Phone: 888-804-3000 Fax: 817-334-0235 | |
Ms. Patricia L. Gillum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-882-3680 Fax: 817-878-5135 | |
Erin Lenora Schwarz, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-926-2544 | |
Anthony Casey Randolph, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-920-6864 | |
Roxie Lee Felts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4916 Overton Plz, Fort Worth, TX 76109 Phone: 888-804-3000 Fax: 817-334-0235 |