| Tony Lee Roberts Jr, CRNA | |
|
54 Hospital Dr, Osage Beach, MO 65065-3050 | |
| (573) 302-1661 | |
| (573) 302-1719 |
| Full Name | Tony Lee Roberts Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 54 Hospital Dr, Osage Beach, 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 |
|---|---|---|---|
| 1922525500 | NPI | - | NPPES |
| 2017030710 | Other | MO | STATE CRNA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2017030710 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Regional Health System | Osage beach, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Ozark Anesthesia And Associates, Inc | 6305806530 | 15 |
| Entity Name | Lake Ozark Anesthesia & Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184719049 PECOS PAC ID: 6305806530 Enrollment ID: O20041013000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Tony Lee Roberts Jr, CRNA 38026 Highway Hh, Dixon, MO 65459-6222 Ph: (573) 528-8903 | Tony Lee Roberts Jr, CRNA 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-1661 |
Mr. Aubrey Folsom Moncrief, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5470 Stone Ledge Cir, Osage Beach, MO 65065 Phone: 573-302-0836 Fax: 573-302-0863 | |
Adam M Boone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 Fax: 573-348-8325 | |
Mr. Glenn W Mclendon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-1661 Fax: 573-302-1719 | |
Nicholas Lyons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Drvie, Osage Beach, MO 65065 Phone: 573-302-1661 | |
Paul Joseph Imperato, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-1661 | |
Kenneth R. Leimkuehler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-1661 | |
Stephanie Ann Jenkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 |