Mr Joseph M Dietrick, CRNA | |
2301 Holmes St, Kansas City, MO 64108-2640 | |
(816) 404-3495 | |
Not Available |
Full Name | Mr Joseph M Dietrick |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 30 Years |
Location | 2301 Holmes St, Kansas City, 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 |
---|---|---|---|
1861418113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 121706 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 121706 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carroll County Memorial Hospital | 2860485638 | 64 |
Entity Name | Carroll County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
Entity Name | Saint Lukes Hospital Of Chillicothe |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245433127 PECOS PAC ID: 0143130393 Enrollment ID: O20041014000548 |
Mailing Address | Practice Location Address |
---|---|
Mr Joseph M Dietrick, CRNA 2301 Holmes St, Kansas City, MO 64108-2640 Ph: () - | Mr Joseph M Dietrick, CRNA 2301 Holmes St, Kansas City, MO 64108-2640 Ph: (816) 404-3495 |
Michael S Filla, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-276-4000 | |
Kelli A Pryor, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1100 | |
Sydney L. Overton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-763-5446 Fax: 816-763-8426 | |
Jennifer Lee Hugo Francisco, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-701-5200 Fax: 816-302-9939 | |
Adrienne Jill Rader, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-763-5446 Fax: 816-763-8426 | |
Ms. Kelly R Gordon, RN ARNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1318 E. 104th St., Kansas City, MO 64131 Phone: 816-256-5180 | |
Jon R Featherston, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1100 |