| Jacob Daniel Carlson, | |
|
2316 E Meyer Blvd, Kansas City, MO 64132-1199 | |
| (913) 428-2900 | |
| (913) 428-2951 |
| Full Name | Jacob Daniel Carlson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 2316 E Meyer Blvd, Kansas 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 |
|---|---|---|---|
| 1417579368 | NPI | - | NPPES |
| 1174504732 | Other | AAKC NPI GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R046087 (South Dakota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2020014043 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Research Medical Center | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Kansas City Pa | 1951206168 | 213 |
| Entity Name | Anesthesia Associates Of Kansas City Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174504732 PECOS PAC ID: 1951206168 Enrollment ID: O20031201000810 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Daniel Carlson, 8717 W 110th St Ste 600, Overland Park, KS 66210-2126 Ph: (913) 428-2900 | Jacob Daniel Carlson, 2316 E Meyer Blvd, Kansas City, MO 64132-1199 Ph: (913) 428-2900 |
Michael S Filla, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-276-4000 | |
Kelli A Pryor, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1100 | |
Sydney L. Overton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-763-5446 Fax: 816-763-8426 | |
Jennifer Lee Hugo Francisco, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-701-5200 Fax: 816-302-9939 | |
Adrienne Jill Rader, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-763-5446 Fax: 816-763-8426 | |
Ms. Kelly R Gordon, RN ARNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1318 E. 104th St., Kansas City, MO 64131 Phone: 816-256-5180 | |
Jon R Featherston, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1100 |