| Teria Mullin, APN, CRNA | |
|
2540 N Galloway Ave Ste 303, Mesquite, TX 75150-4814 | |
| (972) 779-0007 | |
| (513) 987-9512 |
| Full Name | Teria Mullin |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 2540 N Galloway Ave Ste 303, Mesquite, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821322421 | NPI | - | NPPES |
| 209007935 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041.337943 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209007935 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iv Anesthesia Services, Pllc | 8123105392 | 9 |
| Entity Name | Iv Anesthesia Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225245368 PECOS PAC ID: 8123105392 Enrollment ID: O20080411000547 |
| Entity Name | Tam Capital Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134998073 PECOS PAC ID: 5890134738 Enrollment ID: O20240411003786 |
| Mailing Address | Practice Location Address |
|---|---|
| Teria Mullin, APN, CRNA 5606 Smu Blvd, Po Box 602002, Dallas, TX 75206-9998 Ph: (708) 699-6688 | Teria Mullin, APN, CRNA 2540 N Galloway Ave Ste 303, Mesquite, TX 75150-4814 Ph: (972) 779-0007 |
William Layne Eddy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2694 N Galloway Ave, Suite 501, Mesquite, TX 75150 Phone: 972-681-2226 Fax: 972-681-7838 | |
Ms. Cheri Lyn Moore, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3500 Interstate 30 At Motley Dr., Mesquite, TX 75150 Phone: 972-698-2051 | |
Mrs. Sonya Vernice Blocker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1011 N Galloway Ave, Mesquite, TX 75149 Phone: 214-320-7006 | |
Jerrell Wayne Shaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 Interstate 30 Ste B240, Mesquite, TX 75150 Phone: 972-681-7246 Fax: 972-681-8946 | |
Alycia Dawn Andersson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 Motley Dr, Mesquite, TX 75150 Phone: 972-698-3300 | |
Ms. Sara L O'connor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2704 N Galloway Ave Ste 102, Mesquite, TX 75150 Phone: 972-961-7171 Fax: 636-537-0480 | |
Mr. John Michael Duke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 109 Toler Dr, Mesquite, TX 75149 Phone: 972-897-7099 |