Trey Graviett, | |
211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | |
(573) 331-5150 | |
(573) 331-5026 |
Full Name | Trey Graviett |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 211 Saint Francis Dr, Cape Girardeau, 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 |
---|---|---|---|
1194112409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2015011477 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeasthealth | Cape girardeau, MO | Hospital |
Heartland Regional Medical Center | Marion, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Missouri Hospital Physicians Llc | 9133024334 | 185 |
G And G Anesthesia Llc | 4981912607 | 70 |
Entity Name | Southeast Missouri Hospital Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Entity Name | Metro-west Anesthesia Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
Mailing Address | Practice Location Address |
---|---|
Trey Graviett, Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583 | Trey Graviett, 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 Ph: (573) 331-5150 |
Jill Christine Benton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1953 Randol Ave, Cape Girardeau, MO 63701 Phone: 573-382-4785 | |
Giuseppe Galati, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5150 Fax: 573-331-5026 | |
Stephen E Dailey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000 Fax: 913-341-5797 | |
Kourtney Hartwell, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 | |
Billy Harold Garner, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000 Fax: 913-341-5797 | |
Mr. Eric Jerome Pruemer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 Fax: 573-651-5868 | |
Brittany Ann Richardson, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 |