Ms Laurie L Luck, CRNA | |
12634 Olive Blvd, Saint Louis, MO 63141-6337 | |
(314) 996-8378 | |
(314) 996-8910 |
Full Name | Ms Laurie L Luck |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 12634 Olive Blvd, Saint Louis, 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 |
---|---|---|---|
1356554562 | NPI | - | NPPES |
ENROLLED | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 153955 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dha Endoscopy Llc | 4082614979 | 22 |
Gbaa Holdings Pllc | 4789944646 | 24 |
Entity Name | Dha Endoscopy Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1730113325 PECOS PAC ID: 4082614979 Enrollment ID: O20061227000026 |
Entity Name | Lowell Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063938934 PECOS PAC ID: 1951677228 Enrollment ID: O20171101001318 |
Entity Name | Gbaa Holdings Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790299592 PECOS PAC ID: 4789944646 Enrollment ID: O20180214001714 |
Entity Name | Dha Endoscopy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851921555 PECOS PAC ID: 4082614979 Enrollment ID: O20201201000565 |
Mailing Address | Practice Location Address |
---|---|
Ms Laurie L Luck, CRNA 660 S Euclid Ave, C B 8054, Saint Louis, MO 63110-1010 Ph: (314) 996-8378 | Ms Laurie L Luck, CRNA 12634 Olive Blvd, Saint Louis, MO 63141-6337 Ph: (314) 996-8378 |
Ms. Mary Katherine Kinworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12634 Olive Blvd, Dept Anesthesiology, Saint Louis, MO 63141 Phone: 800-862-9980 Fax: 314-362-1185 | |
Ms. Kelsey Elise Fogus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 | |
Ms. Claira J Sousa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 | |
Claire Aubuchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 129 N Ballas Rd, Saint Louis, MO 63122 Phone: 314-996-5330 Fax: 314-810-1399 | |
Mr. Aaron M Weinzettel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 | |
Ms. Tracy Lanes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-6973 Fax: 314-362-1185 | |
Mr. Michael Mccamley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12634 Olive Blvd, Saint Louis, MO 63141 Phone: 314-996-8685 Fax: 314-996-8479 |