| Ms Kendall Sierra Macdonald, RN | |
|
6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | |
| (214) 687-0001 | |
| Not Available |
| Full Name | Ms Kendall Sierra Macdonald |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 6225 N State Highway 161 Ste 200, Irving, Texas |
| 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 |
|---|---|---|---|
| 1821680976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN708667 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1030088 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Little Co Of Mary Med Ctr San Pedro | San pedro, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Anesthesia Associates Pc | 4385070549 | 20 |
| Entity Name | Professional Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932742905 PECOS PAC ID: 4385070549 Enrollment ID: O20200206000993 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kendall Sierra Macdonald, RN 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 | Ms Kendall Sierra Macdonald, RN 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 |
Phillip Howard Chapman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Dr. Shaquitta Nicole Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 N Macarthur Blvd, Irving, TX 75039 Phone: 972-969-2000 | |
Deborah R. Grieder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Sara Morgan Benson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Brian Boone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Judith A Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Mr. Jacob D Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N. Macarthur Boulevard, Suite 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 |