| Philip Shirley, | |
|
1912 Glass Ave, Rockport, TX 78382-3416 | |
| (361) 660-6157 | |
| Not Available |
| Full Name | Philip Shirley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1912 Glass Ave, Rockport, 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 |
|---|---|---|---|
| 1801401559 | NPI | - | NPPES |
| 0869 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1020582 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Citizens Medical Center | Victoria, TX | Hospital |
| Christus Spohn Hospital Beeville | Beeville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 666 |
| Youngs Professional Services Llc | 2163524992 | 218 |
| Third Coast Anesthesia Associates, Pllc | 2769873041 | 3 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| 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 | 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 | Citizens Medical Center County Of Victoria |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205242088 PECOS PAC ID: 3577785096 Enrollment ID: O20141117000499 |
| Entity Name | Texas Anesthesia Partners, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144673468 PECOS PAC ID: 3870879828 Enrollment ID: O20170406000406 |
| 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 | Third Coast Anesthesia Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487319075 PECOS PAC ID: 2769873041 Enrollment ID: O20211221000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Shirley, 1912 Glass Ave, Rockport, TX 78382-3416 Ph: (361) 660-6157 | Philip Shirley, 1912 Glass Ave, Rockport, TX 78382-3416 Ph: (361) 660-6157 |