Mary Allison Wetzel, CRNA | |
603 E Gaines Dr, Clinton, MO 64735-3205 | |
(660) 885-8141 | |
(660) 885-5815 |
Full Name | Mary Allison Wetzel |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 39 Years |
Location | 603 E Gaines Dr, Clinton, 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 |
---|---|---|---|
1881745131 | NPI | - | NPPES |
916844301 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 129500 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 129500 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Golden Valley Memorial Hospital | Clinton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Golden Valley Memorial Hospital District | 4688561814 | 85 |
Entity Name | Golden Valley Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003873266 PECOS PAC ID: 4688561814 Enrollment ID: O20040407001299 |
Mailing Address | Practice Location Address |
---|---|
Mary Allison Wetzel, CRNA 901 E. 104th St., Mailstop 400n, Kansas City, MO 64131 Ph: (816) 502-7104 | Mary Allison Wetzel, CRNA 603 E Gaines Dr, Clinton, MO 64735-3205 Ph: (660) 885-8141 |
Jeffrey D Spitler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 N 2nd St, Clinton, MO 64735 Phone: 660-890-5511 | |
Daniel Searing, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 N 2nd St, Clinton, MO 64735 Phone: 660-885-5511 | |
Mr. Daniel F. Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 N 2nd St, Clinton, MO 64735 Phone: 660-885-5511 | |
Nicholas Joseph Hill, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 North Second St, Clinton, MO 64735 Phone: 660-890-7103 Fax: 660-885-8496 | |
Dr. Jonathan Tyler Finkle, DNAP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 N 2nd St, Clinton, MO 64735 Phone: 660-885-5511 | |
Mark D Lasswell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 N 2nd St, Clinton, MO 64735 Phone: 660-885-5511 | |
Thomas Gordon Mckenney, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 North Second St, Clinton, MO 64735 Phone: 660-890-7103 Fax: 660-885-8496 |