Jayme S Vivian, CRNA | |
1000 E Cherry St, Troy, MO 63379-1513 | |
(636) 528-3265 | |
Not Available |
Full Name | Jayme S Vivian |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 1000 E Cherry St, Troy, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396011847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2006021763 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metro-west Anesthesia Group Inc | 2163329921 | 149 |
Viking Anesthesia Services Llc | 8628393972 | 5 |
Orthomed Staffing Llc | 9638429178 | 252 |
Entity Name | Metro-west Anesthesia Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
Entity Name | Western Anesthesiology Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275646754 PECOS PAC ID: 6204720667 Enrollment ID: O20040209000602 |
Entity Name | Viking Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962809244 PECOS PAC ID: 8628393972 Enrollment ID: O20150210000198 |
Entity Name | Orthomed Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20220505000502 |
Mailing Address | Practice Location Address |
---|---|
Jayme S Vivian, CRNA 1000 E Cherry St, Troy, MO 63379-1513 Ph: (636) 528-3265 | Jayme S Vivian, CRNA 1000 E Cherry St, Troy, MO 63379-1513 Ph: (636) 528-3265 |
Sandra K Flemming-kottman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Cherry St, Troy, MO 63379 Phone: 636-528-3329 | |
Lisa C Dugan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 E Cherry St, Troy, MO 63379 Phone: 636-528-8551 |