| Shane Parks, CRNA | |
|
516 E Nizhoni Blvd, Gallup, NM 87301 | |
| (505) 722-1000 | |
| Not Available |
| Full Name | Shane Parks |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
| 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 |
|---|---|---|---|
| 1588988745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.11341-NA (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Bass Baptist Health Center | Enid, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 1006 |
| Anesthesia Of Enid Llc | 5193823631 | 12 |
| Entity Name | Ahs Oklahoma Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
| Entity Name | Anesthesia Associates Of Oklahoma Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770891475 PECOS PAC ID: 7113100470 Enrollment ID: O20110323000735 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Parks, CRNA Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000 | Shane Parks, CRNA 516 E Nizhoni Blvd, Gallup, NM 87301 Ph: (505) 722-1000 |
Iris R Kovach, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421 | |
Mayra Rael, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Loretta Kendricks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421 | |
Mr. Manuel Dejesus Zarate Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-506-6076 | |
Michael Lee Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421 | |
Ms. Katrina Lucille Pinczes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Red Rock Dr, Gallup, NM 87301 Phone: 330-603-5716 |