Jennifer Everett, CRNA | |
2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | |
(816) 781-7200 | |
(816) 792-7196 |
Full Name | Jennifer Everett |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2525 Glenn Hendren Dr, Liberty, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982664850 | NPI | - | NPPES |
29676017 | Other | MO | BCBS KC |
915233407 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2000168228 (Missouri) | Primary |
Entity Name | Professional Anesthetic Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922053461 PECOS PAC ID: 2365425865 Enrollment ID: O20040607001480 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Everett, CRNA Po Box 804408, Kansas City, MO 64180-4408 Ph: (913) 647-4100 | Jennifer Everett, CRNA 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 Ph: (816) 781-7200 |
Laura M Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-529-5273 | |
Cristin Vancleve, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 | |
Todd Otte, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Patrick Vescovo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 | |
Philip Yust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 |