Jeffrey E Bosanco, CRNA | |
929 N Saint Francis St, Wichita, KS 67214-3821 | |
(800) 374-5326 | |
(800) 374-7656 |
Full Name | Jeffrey E Bosanco |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 929 N Saint Francis St, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124211792 | NPI | - | NPPES |
145988 | Other | KS | BCBS OF KS |
200508480A | Medicaid | KS | |
P00606333 | Other | KS | RR MEDICARE GROUP CQ2302 |
078310 | Other | AANA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 1390042011 (Kansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 55620 (Kansas) | Primary |
Entity Name | Kansas Spine Anesthesia Corporation Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720345911 PECOS PAC ID: 1153586821 Enrollment ID: O20120702000174 |
Entity Name | Wichita Ambulatory Anesthesia Providers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649754789 PECOS PAC ID: 8921351123 Enrollment ID: O20181105000905 |
Mailing Address | Practice Location Address |
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Jeffrey E Bosanco, CRNA Po Box 2897, Wichita, KS 67201-2897 Ph: (800) 374-5326 | Jeffrey E Bosanco, CRNA 929 N Saint Francis St, Wichita, KS 67214-3821 Ph: (800) 374-5326 |
Jaysa L Nichols, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave, Suite 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-858-1556 | |
George Findley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave Ste 250, Wichita, KS 67206 Phone: 316-461-4497 Fax: 316-686-1557 | |
Jill C Gallagher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8330 E Overbrook St, Wichita, KS 67206 Phone: 316-644-1193 | |
Janet L Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3450 N Rock Rd Ste 208, Wichita, KS 67226 Phone: 316-685-6091 | |
Seth Claassen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave Ste 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-686-1557 | |
Wade Frederick Winter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 Fax: 316-291-4272 | |
Mr. Brian Lee Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6615 Briarwood Cir, Wichita, KS 67212 Phone: 316-729-4474 Fax: 316-729-4474 |