| Stravens Moseti Omwenga, CRNA | |
|
271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | |
| (325) 654-3149 | |
| Not Available |
| Full Name | Stravens Moseti Omwenga |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 271 Fort Richardson Ave, Goodfellow Afb, 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 |
|---|---|---|---|
| 1548779234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209032524 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 112301 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 409 |
| Midwest Anesthesia Providers Sc | 9830480581 | 189 |
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 421 |
| Mailing Address | Practice Location Address |
|---|---|
| Stravens Moseti Omwenga, CRNA 3909 Ruthridge Dr, Plano, TX 75074-7785 Ph: (469) 733-2200 | Stravens Moseti Omwenga, CRNA 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 Ph: (325) 654-3149 |
Mr. Michael Roy De Jesus, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 Phone: 325-654-3149 | |
Jackelyn Marie Wiser, APRN- FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 Phone: 325-654-5391 |