| Ricardo B Eversley, CRNA | |
|
510 E Clinton Ave, Athens, TX 75751-3410 | |
| (903) 675-3202 | |
| (903) 677-5586 |
| Full Name | Ricardo B Eversley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 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 |
|---|---|---|---|
| 1083685150 | NPI | - | NPPES |
| 1667891-02 | Medicaid | TX | |
| 166789104 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 680403 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alamo Sedation Associates, Pllc | 2769748623 | 4 |
| Schertz Anesthesia Llc | 5496088809 | 4 |
| 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 | Alamo Sedation Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851810410 PECOS PAC ID: 2769748623 Enrollment ID: O20171108002963 |
| Entity Name | Schertz Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205491305 PECOS PAC ID: 5496088809 Enrollment ID: O20190617002144 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200422002521 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo B Eversley, CRNA Po Box 2127, Athens, TX 75751-7127 Ph: (903) 675-3202 | Ricardo B Eversley, CRNA 510 E Clinton Ave, Athens, TX 75751-3410 Ph: (903) 675-3202 |
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 | |
Perry A Rathbun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-1694 | |
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 |