Rodney Grant, CRNA | |
2817 Saint Johns Blvd, Joplin, MO 64804-1563 | |
(417) 781-2727 | |
(417) 625-2279 |
Full Name | Rodney Grant |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 2817 Saint Johns Blvd, Joplin, 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 |
---|---|---|---|
1407823024 | NPI | - | NPPES |
100254770E | Medicaid | KS | |
100788080A | Medicaid | OK | |
918159534 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 106257 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Specialty Hospital Southeast Kansas | Galena, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Four States Anesthesia Services Llc | 8729973284 | 20 |
Four States Anesthesia Services Llc | 8729973284 | 20 |
Entity Name | Four States Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053382929 PECOS PAC ID: 8729973284 Enrollment ID: O20040216000537 |
Entity Name | Mercy Hospital Carthage |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20120225000071 |
Entity Name | Mercy Hospital Carthage |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20141203001963 |
Mailing Address | Practice Location Address |
---|---|
Rodney Grant, CRNA 2817 Saint Johns Blvd, Joplin, MO 64804-1563 Ph: (417) 781-2727 | Rodney Grant, CRNA 2817 Saint Johns Blvd, Joplin, MO 64804-1563 Ph: (417) 781-2727 |
Mr. Austin Boone Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Mrs. Allison Marie Lutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Ms. Alenka Gloria Vale-dominguez, RN, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Jonathan Eric Drowns, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Terry W Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Julie A Burd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Ashley Nickole Khachi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 |