Mr Sean Victor Pottenger, CRNA | |
1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110-1003 | |
(800) 862-9980 | |
(314) 362-1185 |
Full Name | Mr Sean Victor Pottenger |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 Barnes Jewish Hospital Plz, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346813557 | NPI | - | NPPES |
910136728 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2024004459 (Missouri) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528005642 PECOS PAC ID: 9830008770 Enrollment ID: O20031118001093 |
Mailing Address | Practice Location Address |
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Mr Sean Victor Pottenger, CRNA Po Box 60352, Saint Louis, MO 63160-0352 Ph: (800) 862-9980 | Mr Sean Victor Pottenger, CRNA 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110-1003 Ph: (800) 862-9980 |
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 |