| Robert Alan Shedore, CRNA | |
|
2000 S Mays St Ste 201, Round Rock, TX 78664-7580 | |
| (512) 244-4272 | |
| (512) 244-2895 |
| Full Name | Robert Alan Shedore |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2000 S Mays St Ste 201, Round Rock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114953114 | NPI | - | NPPES |
| 144509 | Other | NC | RN LICENSE |
| 8050925 | Medicaid | NC | |
| NAN768 | Medicaid | SC | |
| 215901409 | Medicaid | TX | |
| 46116 | Other | AANA LICENSE |
| 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 | Northstar Anesthesia Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Alan Shedore, CRNA 2000 S Mays St Ste 201, Round Rock, TX 78664-7580 Ph: (512) 244-4272 | Robert Alan Shedore, CRNA 2000 S Mays St Ste 201, Round Rock, TX 78664-7580 Ph: (512) 244-4272 |
Lisa D Henderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 | |
Caitlin O'connor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Melanie Maraghy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 S Mays St Ste 201, Round Rock, TX 78664 Phone: 512-244-4272 | |
Jana Marlene Ott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Lisa R Masica, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 S Mays St Ste 201, Round Rock, TX 78664 Phone: 512-244-4272 | |
Letitia Hedges, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681 Phone: 512-343-2292 |