| Perry A Rathbun, CRNA | |
|
510 E Clinton Ave, Athens, TX 75751-3410 | |
| (903) 677-1000 | |
| (903) 677-1694 |
| Full Name | Perry A Rathbun |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 34 Years |
| Location | 510 E Clinton Ave, Athens, 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 |
|---|---|---|---|
| 1104099209 | NPI | - | NPPES |
| 916904261 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 122180 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 871224 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Pain Management Llc | 8921410341 | 32 |
| Entity Name | Clinical Colleagues Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20130507000341 |
| Entity Name | Capital Anesthesia Solutions Of Missouri, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560 |
| Entity Name | Rural Health Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265039556 PECOS PAC ID: 8921410341 Enrollment ID: O20210512002296 |
| Mailing Address | Practice Location Address |
|---|---|
| Perry A Rathbun, CRNA 510 E Clinton Ave, Athens, TX 75751-3410 Ph: (903) 677-1000 | Perry A Rathbun, CRNA 510 E Clinton Ave, Athens, TX 75751-3410 Ph: (903) 677-1000 |
Timothy Earl Adair, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-5586 | |
Pamela Gail Frederick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-5586 | |
Ricardo B Eversley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-675-3202 Fax: 903-677-5586 | |
Burton Saucier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-675-3202 | |
Mark Gregory Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 S Palestine St, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-5586 | |
Ms. Glory Kendi Gituma, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-675-1186 |