Mr Jeremy Michael Daves, CRNA | |
201 Nw R D Mize Rd, Anesthesia Services Of Blue Springs/st. Mary's Medical, Blue Springs, MO 64014-2513 | |
(816) 988-8415 | |
(816) 335-4003 |
Full Name | Mr Jeremy Michael Daves |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 201 Nw R D Mize Rd, Blue Springs, 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 |
---|---|---|---|
1063513612 | NPI | - | NPPES |
911059301 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2004031152 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Forrest City Medical Center | Forrest city, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Guardian Anesthesia Associates Llc | 6608005111 | 3 |
Rural Health Pain Management Llc | 8921410341 | 18 |
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 | Guardian Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215366307 PECOS PAC ID: 6608005111 Enrollment ID: O20140203001776 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremy Michael Daves, CRNA 1209 Nw North Ridge Drive, Suite B, Blue Springs, MO 64015-6320 Ph: (816) 988-8415 | Mr Jeremy Michael Daves, CRNA 201 Nw R D Mize Rd, Anesthesia Services Of Blue Springs/st. Mary's Medical, Blue Springs, MO 64014-2513 Ph: (816) 988-8415 |
Timothy D Fundenberger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Mrs. Brenda Rae Rutherford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 Nw North Ridge Drive, Suite B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Dina Lynn Lutjen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 Nw North Ridge Dr, Suite B, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Denise A Wilson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Karen L. Graybill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Sherry J Hugi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 |