Mrs Tamara-jane Harding Gum, CRNA | |
250 Ne Mulberry St, C/o Sjs Medical Management, Suite 202, Lees Summit, MO 64086-4533 | |
(816) 389-4130 | |
(816) 389-4140 |
Full Name | Mrs Tamara-jane Harding Gum |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 250 Ne Mulberry St, Lees Summit, 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 |
---|---|---|---|
1982816450 | NPI | - | NPPES |
914603907 | Medicaid | MO | |
P02156077 | Other | MO | RAILROAD |
39408094 | Other | MO | BCBS KC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 129913 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Heartland Regional Medical Center | 6709772767 | 342 |
Truman Medical Center Incorporated | 7315841418 | 213 |
Orthomed Staffing Llc | 9638429178 | 252 |
Entity Name | Truman Medical Center Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144207937 PECOS PAC ID: 7315841418 Enrollment ID: O20031120000847 |
Entity Name | Heartland Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
Entity Name | Professional Anesthetic Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922053461 PECOS PAC ID: 2365425865 Enrollment ID: O20040607001480 |
Entity Name | Orthomed Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20220505000502 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tamara-jane Harding Gum, CRNA 1009 Ne 94th Court, Kansas City, MO 64155 Ph: (816) 436-4279 | Mrs Tamara-jane Harding Gum, CRNA 250 Ne Mulberry St, C/o Sjs Medical Management, Suite 202, Lees Summit, MO 64086-4533 Ph: (816) 389-4130 |
Amy Jo Masiongale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 | |
Paula E. Gough, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 | |
Mark Andrew Randtke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 816-282-5000 | |
Leo B Wright, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Ne Mulberry St, Sjs Medical Management, Ste 202, Lees Summit, MO 64086 Phone: 816-389-4130 Fax: 816-389-4140 | |
Derek C Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-347-5000 Fax: 816-347-5045 | |
Ann Renne Mcconnaughhay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 | |
Wesley K Helding, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 |