Jason Lee Ricks, CRNA | |
2817 Saint Johns Blvd, Anesthesia Dept, Joplin, MO 64804-1563 | |
(417) 781-2727 | |
Not Available |
Full Name | Jason Lee Ricks |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 2817 Saint Johns Blvd, Joplin, 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 |
---|---|---|---|
1104114073 | NPI | - | NPPES |
200397640A | Medicaid | OK | |
188858001 | Medicaid | AR | |
1104114073 | Medicaid | MO | |
200739210A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2011020379 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Washington Regional Medical Center | Fayetteville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Anesthesia Of Arkansas Professional Corporation | 6406077460 | 52 |
Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
Mailing Address | Practice Location Address |
---|---|
Jason Lee Ricks, CRNA 2817 Saint Johns Blvd, Anesthesia Dept, Joplin, MO 64804-1563 Ph: (417) 781-2727 | Jason Lee Ricks, CRNA 2817 Saint Johns Blvd, Anesthesia Dept, Joplin, MO 64804-1563 Ph: (417) 781-2727 |
Mr. Austin Boone Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Mrs. Allison Marie Lutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Ms. Alenka Gloria Vale-dominguez, RN, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Jonathan Eric Drowns, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Terry W Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Julie A Burd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Ashley Nickole Khachi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 |