Traci Mae Heese, APRN | |
126 Missouri Ave, Glwach (attn: Sheila Ham), Fort Leonard Wood, MO 65473-8952 | |
(573) 596-0417 | |
Not Available |
Full Name | Traci Mae Heese |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 126 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598747578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 110497 (Nebraska) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CR000714 (South Dakota) | Primary |
Entity Name | Phelps County Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
Mailing Address | Practice Location Address |
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Traci Mae Heese, APRN 126 Missouri Ave, Glwach (attn: Sheila Ham), Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417 | Traci Mae Heese, APRN 126 Missouri Ave, Glwach (attn: Sheila Ham), Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417 |
Samuel Alan Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 | |
Dr. Sarah Elizabeth Bolin, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Mr. John Sebastian Wong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Missouri Ave, Glwach Attn Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
William Mark Collins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0471 | |
Dr. Benjamin Althuisius, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Dr. Jeevan Bhatta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Allan Anthony Bolido, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 210-563-9539 |