Dr Jeevan Bhatta, CRNA | |
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
(573) 596-0417 | |
Not Available |
Full Name | Dr Jeevan Bhatta |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861844003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-121107 (Alabama) | Primary |
Entity Name | Blue Lake Health Springhill Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194496216 PECOS PAC ID: 2365830007 Enrollment ID: O20211028001840 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeevan Bhatta, CRNA 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0417 | Dr Jeevan Bhatta, CRNA 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0417 |
Samuel Alan Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 | |
Dr. Sarah Elizabeth Bolin, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Mr. John Sebastian Wong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Missouri Ave, Glwach Attn Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
William Mark Collins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0471 | |
Dr. Benjamin Althuisius, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Allan Anthony Bolido, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 210-563-9539 |