Jeannie Marie Peterson, CRNA | |
1102 W 32nd St, Joplin, MO 64804-3503 | |
(417) 347-1111 | |
Not Available |
Full Name | Jeannie Marie Peterson |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1102 W 32nd St, Joplin, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992775506 | NPI | - | NPPES |
100787980A | Medicaid | OK | |
915240105 | Medicaid | MO | |
100389550D | Medicaid | KS | |
430061375 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 55028 (Kansas) | Primary |
Entity Name | Cox Barton County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174166177 PECOS PAC ID: 8820329782 Enrollment ID: O20200116001299 |
Mailing Address | Practice Location Address |
---|---|
Jeannie Marie Peterson, CRNA 302 N Hospital Dr, Girard, KS 66743-2000 Ph: (417) 347-1078 | Jeannie Marie Peterson, CRNA 1102 W 32nd St, Joplin, MO 64804-3503 Ph: (417) 347-1111 |
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 |