Christopher Eric Vandiver, CRNA | |
54 Hospital Dr, Osage Beach, MO 65065-3050 | |
(573) 302-1661 | |
(573) 302-1719 |
Full Name | Christopher Eric Vandiver |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 54 Hospital Dr, Osage Beach, Missouri |
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 |
---|---|---|---|
1023453289 | NPI | - | NPPES |
1023453289 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9359099 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2013037716 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Regional Health System | Osage beach, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Ozark Anesthesia And Associates, Inc | 6305806530 | 15 |
Entity Name | Lake Ozark Anesthesia & Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184719049 PECOS PAC ID: 6305806530 Enrollment ID: O20041013000075 |
Mailing Address | Practice Location Address |
---|---|
Christopher Eric Vandiver, CRNA Po Box 840, Osage Beach, MO 65065-0840 Ph: (573) 302-1661 | Christopher Eric Vandiver, CRNA 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-1661 |
Mr. Aubrey Folsom Moncrief, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5470 Stone Ledge Cir, Osage Beach, MO 65065 Phone: 573-302-0836 Fax: 573-302-0863 | |
Adam M Boone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 Fax: 573-348-8325 | |
Mr. Glenn W Mclendon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-1661 Fax: 573-302-1719 | |
Nicholas Lyons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Drvie, Osage Beach, MO 65065 Phone: 573-302-1661 | |
Paul Joseph Imperato, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-1661 | |
Kenneth R. Leimkuehler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-1661 | |
Stephanie Ann Jenkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 |