Garrick Michael Procter, CRNA | |
2505 Mission Dr, Jefferson City, MO 65109-9508 | |
(573) 636-3483 | |
(573) 636-3386 |
Full Name | Garrick Michael Procter |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 2505 Mission 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 |
---|---|---|---|
1225606403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2021021979 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-missouri Anesthesia Consultants Pc | 8224025747 | 12 |
Entity Name | Mid-missouri Anesthesia Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326091059 PECOS PAC ID: 8224025747 Enrollment ID: O20040827000461 |
Entity Name | The Curators Of The University Of Missouri |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Entity Name | Anesthesia Services Of Mid Missouri |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003207580 PECOS PAC ID: 4183943384 Enrollment ID: O20150511001993 |
Mailing Address | Practice Location Address |
---|---|
Garrick Michael Procter, CRNA 3349 American Ave Ste C, Jefferson City, MO 65109-1080 Ph: (573) 636-3483 | Garrick Michael Procter, CRNA 2505 Mission Dr, Jefferson City, MO 65109-9508 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 | |
Eric K. Hale, 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 | |
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 |