Amy Kathleen Ulrich, CRNA | |
12303 De Paul Dr, Northwest Anesthesia, Ltd, Bridgeton, MO 63044-2512 | |
(314) 344-7049 | |
(314) 344-7073 |
Full Name | Amy Kathleen Ulrich |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 12303 De Paul Dr, Bridgeton, Missouri |
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 |
---|---|---|---|
1639492655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209008371 (Illinois) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 082688 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center | Galesburg, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Associated Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
Entity Name | St Mary Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982668851 PECOS PAC ID: 8628038015 Enrollment ID: O20050407000802 |
Entity Name | Osf Healthcare System |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Amy Kathleen Ulrich, CRNA 12303 De Paul Dr, Northwest Anesthesia, Ltd, Bridgeton, MO 63044-2512 Ph: (314) 344-7049 | Amy Kathleen Ulrich, CRNA 12303 De Paul Dr, Northwest Anesthesia, Ltd, Bridgeton, MO 63044-2512 Ph: (314) 344-7049 |
Timothy J Guernsey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Harriett Hadi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 469-757-1042 Fax: 855-917-2066 | |
Amanda S Schoenbeck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Gina Newberry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 469-757-1042 Fax: 855-917-2066 | |
Taren Ashley Rutz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12303 Depaul Dr, Bridgeton, MO 63044 Phone: 314-775-2816 | |
Ms. Jessica Lee Roberts, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3550 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-741-0911 | |
Mr. William P Killeen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7049 Fax: 314-344-7073 |