Mrs Carmeta Denise Shaw-jones, CRNA | |
Epic Eye Surgery Center, Llc, 11261 Nall Avenue #200, Leawood, KS 66211 | |
(913) 671-3290 | |
Not Available |
Full Name | Mrs Carmeta Denise Shaw-jones |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | Epic Eye Surgery Center, Llc, Leawood, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205932308 | NPI | - | NPPES |
100251390D | Medicaid | KS | |
1205932308 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 43-54461-011 (Kansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 108387 (Missouri) | Primary |
Entity Name | Eye Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609066034 PECOS PAC ID: 4385544600 Enrollment ID: O20040204000494 |
Entity Name | Eye Surgery Center-northland Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1033162631 PECOS PAC ID: 0749283919 Enrollment ID: O20060809000330 |
Entity Name | Excel Anesthesia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366559130 PECOS PAC ID: 1850397787 Enrollment ID: O20061017000539 |
Mailing Address | Practice Location Address |
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Mrs Carmeta Denise Shaw-jones, CRNA Excel Anesthesia, Llc, 13851 W. 63rd St., Suite 433, Shawnee, KS 66216-3800 Ph: (813) 721-3641 | Mrs Carmeta Denise Shaw-jones, CRNA Epic Eye Surgery Center, Llc, 11261 Nall Avenue #200, Leawood, KS 66211 Ph: (913) 671-3290 |
Dennis Hogenkamp, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3651 College Blvd, Anesthesia Dept, Leawood, KS 66211 Phone: 816-389-6030 Fax: 816-389-6034 | |
Wayne Mcqueary, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3651 College Blvd, Anesthesia Dept, Leawood, KS 66211 Phone: 816-389-6030 Fax: 816-389-6034 | |
Dennis Cummings, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5001 College Blvd, Suite #103, Leawood, KS 66211 Phone: 913-888-2237 Fax: 913-541-5610 | |
Kimberly A Moehle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11413 Ash St, Ste 100, Leawood, KS 66211 Phone: 913-661-9977 Fax: 913-661-9577 | |
Mr. Bradley Joseph Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4801 College Blvd, Leawood, KS 66211 Phone: 913-491-3999 Fax: 913-491-9309 | |
Douglas W Chapman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3651 College Blvd, Anesthesia Dept, Leawood, KS 66211 Phone: 816-389-6030 Fax: 816-389-6034 |