| Zane Noel Hartgraves, CRNA | |
|
2505 Mission Dr, Jefferson City, MO 65109-9508 | |
| (573) 636-3483 | |
| (573) 636-3386 |
| Full Name | Zane Noel Hartgraves |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 2505 Mission Dr, Jefferson City, 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 |
|---|---|---|---|
| 1134744162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2020016691 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-missouri Anesthesia Consultants Pc | 8224025747 | 12 |
| Entity Name | Mid-missouri Anesthesia Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326091059 PECOS PAC ID: 8224025747 Enrollment ID: O20040827000461 |
| Entity Name | Anesthesia Services Of Mid Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003207580 PECOS PAC ID: 4183943384 Enrollment ID: O20150511001993 |
| Mailing Address | Practice Location Address |
|---|---|
| Zane Noel Hartgraves, CRNA 1445 Christy Dr Ste B, Jefferson City, MO 65101-2853 Ph: (573) 636-3483 | Zane Noel Hartgraves, CRNA 2505 Mission Dr, Jefferson City, MO 65109-9508 Ph: (573) 636-3483 |
John G Charbonneau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Carl G. Bone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Larry D. Winegar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Eric K. Hale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Gerald Lynn Kueckelhan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 | |
Garrick Michael Procter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 |