Leslie Corinn Jacobs, CRNA | |
901 E 5th St, Washington, MO 63090-3127 | |
(636) 239-8090 | |
(636) 390-7385 |
Full Name | Leslie Corinn Jacobs |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 901 E 5th St, Washington, 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 |
---|---|---|---|
1952504292 | NPI | - | NPPES |
AN3303 | Medicaid | SC | |
P00680827 | Other | MO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 23936 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2004034999 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trident Medical Center | Charleston, SC | Hospital |
Texas Health Huguley Hospital Fort Worth South | Burleson, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Iii Pa | 0042630501 | 338 |
Trident Anesthesia Group Llc | 5294631545 | 97 |
Entity Name | Northstar Anesthesia Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
Entity Name | Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346570355 PECOS PAC ID: 7012045685 Enrollment ID: O20100503000712 |
Entity Name | Northstar Anesthesia Ii Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
Entity Name | Northstar Anesthesia Iii Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
Mailing Address | Practice Location Address |
---|---|
Leslie Corinn Jacobs, CRNA 901 E 5th St, Washington, MO 63090-3127 Ph: (636) 239-8090 | Leslie Corinn Jacobs, CRNA 901 E 5th St, Washington, MO 63090-3127 Ph: (636) 239-8090 |
Marilou Grainger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8000 | |
Mrs. Katie Marie Frillman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8301 | |
Terri L. Morgan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8090 | |
Virgina Lee Painter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8090 | |
Virginia R Hall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-290-8090 | |
Joseph W Hassler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8000 | |
Timothy L Piontek, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8090 |