| Cassidy N Kimball, AA | |
|
2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | |
| (816) 781-7200 | |
| (816) 792-7196 |
| Full Name | Cassidy N Kimball |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 3 Years |
| Location | 2525 Glenn Hendren Dr, Liberty, 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 |
|---|---|---|---|
| 1124692702 | NPI | - | NPPES |
| 65093015 | Other | MO | BCBS KC |
| 910098763 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 2021022736 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New Liberty Hospital District | Liberty, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Anesthetic Care Inc | 2365425865 | 31 |
| Entity Name | Professional Anesthetic Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053461 PECOS PAC ID: 2365425865 Enrollment ID: O20040607001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassidy N Kimball, AA Po Box 804408, Kansas City, MO 64180-4408 Ph: (913) 647-4100 | Cassidy N Kimball, AA 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 Ph: (816) 781-7200 |
Pooja A Patel, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Troy M Green, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Mrs. Jamie Nafzinger, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Melanie J Guthrie, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Mary Jeanne Roberts, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-792-7126 Fax: 816-792-7196 | |
Trent Andrew Platz, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Anesthesia Dept, Liberty, MO 64068 Phone: 816-792-7037 Fax: 816-792-7196 |