Jason Dean Lightle, CRNA | |
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
(816) 271-6350 | |
(816) 271-6753 |
Full Name | Jason Dean Lightle |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 5325 Faraon St, Saint Joseph, 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 |
---|---|---|---|
1588929210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2012018728 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Ssm Health St. Francis Hospital- Maryville | Maryville, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mosaic Medical Center - Maryville | 3678813896 | 76 |
Heartland Regional Medical Center | 6709772767 | 342 |
Entity Name | Heartland Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
Entity Name | Mosaic Medical Center - Maryville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
Mailing Address | Practice Location Address |
---|---|
Jason Dean Lightle, CRNA Po Box 410245, Kansas City, MO 64141-0245 Ph: (816) 271-1365 | Jason Dean Lightle, CRNA 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6350 |
Mr. Kenneth Jude Conde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4510 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-364-9992 | |
Rodger Alan Oren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Christopher Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4510 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-364-9992 | |
Samuel L Jeffers, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-1365 Fax: 816-271-6753 | |
Aloysia Lonergan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Sylvia Brainoo, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Robert Neil Fisher, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 |