| Shannon D Eldridge, CRNA | |
|
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
| (702) 653-3550 | |
| Not Available |
| Full Name | Shannon D Eldridge |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710218821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 675067 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP118773 (Texas) | Primary |
| Entity Name | Humboldt General Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1750498010 PECOS PAC ID: 5193709798 Enrollment ID: O20061104000361 |
| Entity Name | Lifelinc Anesthesia Nevada Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851950463 PECOS PAC ID: 8921431800 Enrollment ID: O20191206001221 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon D Eldridge, CRNA 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3550 | Shannon D Eldridge, CRNA 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3550 |
Dr. Kenneth Narayan, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Steven M Sertich, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2392 | |
Kelsey Crumley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Steven Vietti, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
William N Clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3550 | |
Andrew Lester C Chua, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3550 | |
Joshua William Boyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3550 |