David Reavis, | |
100 Mercy Way, Joplin, MO 64804-4524 | |
(417) 556-3729 | |
Not Available |
Full Name | David Reavis |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 100 Mercy Way, Joplin, 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 |
---|---|---|---|
1356837603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2018024764 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Joplin | Joplin, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Missouri Llc | 4082908249 | 62 |
Entity Name | Mercy Hospital Carthage |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20120225000071 |
Entity Name | Mercy Hospital Carthage |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20141203001963 |
Entity Name | Northstar Anesthesia Of Missouri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
Mailing Address | Practice Location Address |
---|---|
David Reavis, 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0496 | David Reavis, 100 Mercy Way, Joplin, MO 64804-4524 Ph: (417) 556-3729 |
Mr. Austin Boone Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Mrs. Allison Marie Lutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Ms. Alenka Gloria Vale-dominguez, RN, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Jonathan Eric Drowns, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Terry W Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Julie A Burd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Ashley Nickole Khachi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 |