Samuel D Travis, CRNA | |
250 W 9th St, Hoisington, KS 67544-1706 | |
(620) 653-2114 | |
(620) 653-2350 |
Full Name | Samuel D Travis |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 250 W 9th St, Hoisington, Kansas |
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 |
---|---|---|---|
1447733522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 557629 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Clara Barton Hospital | Hoisington, KS | Hospital |
Wesley Medical Center | Wichita, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wichita Anesthesiology Chartered | 4587577796 | 66 |
The Clara Barton Hospital Association Inc Hoisington Kansas | 6709798622 | 25 |
Entity Name | Wichita Anesthesiology Chartered |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407848450 PECOS PAC ID: 4587577796 Enrollment ID: O20031112000357 |
Entity Name | The Clara Barton Hospital Association Inc Hoisington Kansas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114964111 PECOS PAC ID: 6709798622 Enrollment ID: O20040120001002 |
Mailing Address | Practice Location Address |
---|---|
Samuel D Travis, CRNA 8080 E Central Ave Ste 250, Wichita, KS 67206-2367 Ph: (316) 686-7327 | Samuel D Travis, CRNA 250 W 9th St, Hoisington, KS 67544-1706 Ph: (620) 653-2114 |
Robert Michael Sheppard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 West 9th, Hoisington, KS 67544 Phone: 620-653-2114 | |
Matthew Ryan Barlow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 W 9th St, Hoisington, KS 67544 Phone: 620-653-2114 Fax: 620-653-2350 |