Jennifer Moutray, | |
3801 S National Ave, Springfield, MO 65807-5210 | |
(417) 269-4557 | |
Not Available |
Full Name | Jennifer Moutray |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 3801 S National Ave, Springfield, 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 |
---|---|---|---|
1891148417 | NPI | - | NPPES |
2006021598 | Other | MO | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2006021598 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Springfield | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Entity Name | Ozark Anesthesia Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831109586 PECOS PAC ID: 1850290149 Enrollment ID: O20041109000614 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Moutray, 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 Ph: () - | Jennifer Moutray, 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-4557 |
Olivia M. Kilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Mr. David E Meinhardt, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 E Primrose St, Springfield, MO 65804 Phone: 417-886-3937 Fax: 417-886-1285 | |
Jacquelyn B Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 | |
Dione E Blansit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 | |
Jesse D Collins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Bradley A Korman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
John D Ford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 |