| Abbey Diane Travis, CRNA | |
|
1257 N Buckner St, Derby, KS 67037-2721 | |
| (316) 788-5939 | |
| (316) 788-5945 |
| Full Name | Abbey Diane Travis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 1257 N Buckner St, Derby, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699809442 | NPI | - | NPPES |
| 145381 | Other | KS | BLUE CROSS |
| 200425610B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 55561 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Special Anesthesia Services Pa | 4082618467 | 3 |
| Ad Astra Anesthesia Llc | 7810898608 | 7 |
| Entity Name | Ad Astra Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316918816 PECOS PAC ID: 7810898608 Enrollment ID: O20040115000467 |
| Entity Name | Special Anesthesia Services PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528035714 PECOS PAC ID: 4082618467 Enrollment ID: O20060828000464 |
| Entity Name | Kansas Spine Anesthesia Corporation PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720345911 PECOS PAC ID: 1153586821 Enrollment ID: O20120702000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Abbey Diane Travis, CRNA 1257 N Buckner St, Derby, KS 67037-2721 Ph: (316) 788-5939 | Abbey Diane Travis, CRNA 1257 N Buckner St, Derby, KS 67037-2721 Ph: (316) 788-5939 |
Ryan Ray Morgan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1257 N Buckner St, Derby, KS 67037 Phone: 316-788-5939 Fax: 316-788-5945 |
Katie Layne Carmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1257 N Buckner St, Derby, KS 67037 Phone: 316-788-5939 Fax: 316-788-5945 |
Jeremy M Salsbury, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1257 N Buckner St, Derby, KS 67037 Phone: 316-788-5939 Fax: 316-788-5945 |
Ronald James Keller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 729 N Baltimore, Derby, KS 67037 Phone: 316-788-5939 |
Jenni Kay Ehling, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1257 N Buckner St, Derby, KS 67037 Phone: 316-788-5939 Fax: 316-788-5945 |
Lisa R Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1257 N Buckner St, Derby, KS 67037 Phone: 316-788-5939 Fax: 316-788-5945 |
Amanda Renee Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1257 N Buckner St, Derby, KS 67037 Phone: 316-788-5939 Fax: 316-788-5945 |