| Mrs Marisa Chaffee Endersby, CRNA | |
|
900 17th St, Woodward, OK 73801-2448 | |
| (580) 254-8688 | |
| Not Available |
| Full Name | Mrs Marisa Chaffee Endersby |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 900 17th St, Woodward, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093757783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0073537 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alliancehealth Woodward | Woodward, OK | Hospital |
| Share Medical Center | Alva, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Newman Memorial Hospital, Inc | 2567482367 | 11 |
| Alva Hospital Authority | 5597755306 | 17 |
| Integral Anesthesia Llc | 9638461973 | 96 |
| Entity Name | Alva Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679684682 PECOS PAC ID: 5597755306 Enrollment ID: O20040514000014 |
| Entity Name | Newman Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617807 PECOS PAC ID: 2567482367 Enrollment ID: O20051122000749 |
| Entity Name | Integral Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881041515 PECOS PAC ID: 9638461973 Enrollment ID: O20160707001409 |
| Entity Name | Alva Hospital Authority |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679684682 PECOS PAC ID: 5597755306 Enrollment ID: O20180104001765 |
| Entity Name | Western Oklahoma Anesthesia Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663 |
| Entity Name | Western Oklahoma Anesthesia Consultants Woodward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Marisa Chaffee Endersby, CRNA Rr 1 Box 234, Woodward, OK 73801-9712 Ph: (580) 256-3956 | Mrs Marisa Chaffee Endersby, CRNA 900 17th St, Woodward, OK 73801-2448 Ph: (580) 254-8688 |
Ms. Jeannean Joy Jent, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 17th St, Woodward, OK 73801 Phone: 580-256-5511 | |
Jason Michael Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 17th St, Woodward, OK 73801 Phone: 580-256-5511 | |
Patsy S Bynum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 17th St, Woodward, OK 73801 Phone: 580-254-8694 | |
Justin Tate Endersby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 17th St, Woodward, OK 73801 Phone: 580-254-8492 | |
L Ann Farrar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 17th Street, Woodward, OK 73801 Phone: 580-254-8694 |