Luke Hubbard, | |
1701 Lacey St, Cape Girardeau, MO 63701-5230 | |
(573) 651-5562 | |
(573) 651-5868 |
Full Name | Luke Hubbard |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 1701 Lacey St, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265817779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2010003635 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 110038 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Resource Anesthesiology Associates Of Mo Llc | 0042514150 | 12 |
Entity Name | Southeast Missouri Hospital Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Entity Name | Dps Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649339607 PECOS PAC ID: 6901900075 Enrollment ID: O20070329000159 |
Entity Name | Resource Anesthesiology Associates Of Mo Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396116521 PECOS PAC ID: 0042514150 Enrollment ID: O20160210002213 |
Entity Name | Asc Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740873033 PECOS PAC ID: 4789099896 Enrollment ID: O20210224000314 |
Mailing Address | Practice Location Address |
---|---|
Luke Hubbard, 2059 Derwin Cir, Jackson, MO 63755-8551 Ph: (573) 979-1491 | Luke Hubbard, 1701 Lacey St, Cape Girardeau, MO 63701-5230 Ph: (573) 651-5562 |
Jill Christine Benton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1953 Randol Ave, Cape Girardeau, MO 63701 Phone: 573-382-4785 | |
Giuseppe Galati, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5150 Fax: 573-331-5026 | |
Stephen E Dailey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000 Fax: 913-341-5797 | |
Kourtney Hartwell, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 | |
Billy Harold Garner, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000 Fax: 913-341-5797 | |
Mr. Eric Jerome Pruemer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 Fax: 573-651-5868 | |
Brittany Ann Richardson, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 |