| Brent E Shields, CRNA | |
|
10 Hospital Dr, Saint Peters, MO 63376-1659 | |
| (636) 916-9180 | |
| Not Available |
| Full Name | Brent E Shields |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 10 Hospital Dr, Saint Peters, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740575232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2011011838 (Missouri) | Primary |
| Entity Name | Digestive Health Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801286844 PECOS PAC ID: 9739494832 Enrollment ID: O20150819006984 |
| Entity Name | Olde Cabin Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780228155 PECOS PAC ID: 8426489048 Enrollment ID: O20200515000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent E Shields, CRNA Po Box 5, Hazelwood, MO 63042-0005 Ph: (314) 895-3828 | Brent E Shields, CRNA 10 Hospital Dr, Saint Peters, MO 63376-1659 Ph: (636) 916-9180 |
Sharon Gillardi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 800-233-7224 Fax: 678-888-0390 | |
Brian William Bennett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 636-916-9000 | |
Michael Hohe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 800-233-7224 Fax: 678-888-0390 | |
Julie M Mcdaniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 636-916-9180 | |
Ms. Jennifer Lynn Desy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 314-895-3828 Fax: 314-895-3827 | |
Cristina Rhodes, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 636-916-9000 |