Jami D Shockey, CRNA | |
100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | |
(816) 347-5097 | |
(816) 347-5045 |
Full Name | Jami D Shockey |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 100 Ne Saint Lukes Blvd, Lees Summit, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194389627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2013019719 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2019019035 (Missouri) | Primary |
Entity Name | St Lukes East Anesthesia Services,p.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649283177 PECOS PAC ID: 1850333477 Enrollment ID: O20050524001050 |
Mailing Address | Practice Location Address |
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Jami D Shockey, CRNA Po Box 412431, Kansas City, MO 64141-2431 Ph: (816) 347-5097 | Jami D Shockey, CRNA 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 Ph: (816) 347-5097 |
Amy Jo Masiongale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 | |
Paula E. Gough, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 | |
Mark Andrew Randtke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 816-282-5000 | |
Leo B Wright, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Ne Mulberry St, Sjs Medical Management, Ste 202, Lees Summit, MO 64086 Phone: 816-389-4130 Fax: 816-389-4140 | |
Derek C Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-347-5000 Fax: 816-347-5045 | |
Ann Renne Mcconnaughhay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 | |
Wesley K Helding, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 |