| Brady Cannon, | |
|
2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | |
| (816) 781-7200 | |
| (816) 792-7196 |
| Full Name | Brady Cannon |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 10 Years |
| Location | 2525 Glenn Hendren Dr, Liberty, 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 |
|---|---|---|---|
| 1801265095 | NPI | - | NPPES |
| 57687015 | Other | MO | BCBS KC |
| 910026513 | Medicaid | MO | |
| P02049871 | Other | MO | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 2015033276 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New Liberty Hospital District | Liberty, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Anesthetic Care Inc | 2365425865 | 29 |
| Entity Name | Professional Anesthetic Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053461 PECOS PAC ID: 2365425865 Enrollment ID: O20040607001480 |
| Entity Name | Ozark Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831109586 PECOS PAC ID: 1850290149 Enrollment ID: O20041109000614 |
| Mailing Address | Practice Location Address |
|---|---|
| Brady Cannon, Po Box 804408, Kansas City, MO 64180-4408 Ph: (913) 647-4100 | Brady Cannon, 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 Ph: (816) 781-7200 |
Alexsis Ann Perdue, C-AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-792-7037 Fax: 816-792-7196 | |
Pooja A Patel, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Troy M Green, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Mrs. Jamie Nafzinger, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Melanie J Guthrie, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Mary Jeanne Roberts, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-792-7126 Fax: 816-792-7196 | |
Trent Andrew Platz, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Anesthesia Dept, Liberty, MO 64068 Phone: 816-792-7037 Fax: 816-792-7196 |