Eric K Hale, CRNA | |
1445 Christy Dr, Jefferson City, MO 65101-2853 | |
(573) 636-3483 | |
(573) 636-5315 |
Full Name | Eric K Hale |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1445 Christy Dr, Jefferson City, 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 |
---|---|---|---|
1134119969 | NPI | - | NPPES |
915800007 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 117031 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Jefferson | Festus, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Acuity Anesthesiology Llc | 6305992652 | 14 |
Entity Name | Acuity Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134353030 PECOS PAC ID: 6305992652 Enrollment ID: O20090929000038 |
Entity Name | Mercy Hospital Perry |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515 |
Entity Name | Mercy Hospital Perry |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231106001433 |
Mailing Address | Practice Location Address |
---|---|
Eric K Hale, CRNA 525 Couch Ave, St. Joe Hospital Of Kirkwood/aneshesia Department, Kirkwood, MO 63122-5536 Ph: (573) 636-3483 | Eric K Hale, CRNA 1445 Christy Dr, Jefferson City, MO 65101-2853 Ph: (573) 636-3483 |
John G Charbonneau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Carl G. Bone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Larry D. Winegar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Zane Noel Hartgraves, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 | |
Gerald Lynn Kueckelhan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 | |
Garrick Michael Procter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 |