Mr Jeffrey Colench, CRNA | |
1000 W 10th St, Rolla, MO 65401-2905 | |
(573) 458-8899 | |
Not Available |
Full Name | Mr Jeffrey Colench |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 1000 W 10th St, Rolla, 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 |
---|---|---|---|
1568432490 | NPI | - | NPPES |
915685408 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 121078 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Phelps County Regional Medical Center | Rolla, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phelps County Regional Medical Center | 2860391158 | 89 |
Entity Name | Phelps County Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20041005000085 |
Entity Name | Missouri Baptist Hospital Of Sullivan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215945480 PECOS PAC ID: 2668380148 Enrollment ID: O20060504000053 |
Entity Name | Midwest Anesthesia Providers Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey Colench, CRNA Po Box 220, Rolla, MO 65402-0220 Ph: (573) 458-8899 | Mr Jeffrey Colench, CRNA 1000 W 10th St, Rolla, MO 65401-2905 Ph: (573) 458-8899 |
Mr. William J. Jones, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401 Phone: 417-533-6010 Fax: 417-533-6173 | |
Blaine Goodman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Amanda C Wagner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 Fax: 573-341-5611 | |
Charles Boone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Mr. Martin E Rivera, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Collin Dobson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Jason Anthony Corey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 |