| Mr Brett L Welden, CRNA | |
|
1333 S Sam Houston Blvd, Houston, MO 65483-2046 | |
| (417) 967-3311 | |
| (417) 967-1234 |
| Full Name | Mr Brett L Welden |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 1333 S Sam Houston Blvd, Houston, 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 |
|---|---|---|---|
| 1679637185 | NPI | - | NPPES |
| 910026517 | Medicaid | MO | |
| 26D0446923 | Other | MO | CLIA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Freeman Health System - Freeman West | Joplin, MO | Hospital |
| Mercy Hospital Lebanon | Lebanon, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 989 |
| Freeman-oak Hill Health System | 8325942253 | 341 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | Freeman-oak Hill Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570 |
| Entity Name | Bothwell Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790740363 PECOS PAC ID: 9436041696 Enrollment ID: O20041220000543 |
| Entity Name | Mercy St Francis Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20061104000139 |
| Entity Name | Northstar Anesthesia Of Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brett L Welden, CRNA 1333 S Sam Houston Blvd, Houston, MO 65483-2046 Ph: (417) 967-1265 | Mr Brett L Welden, CRNA 1333 S Sam Houston Blvd, Houston, MO 65483-2046 Ph: (417) 967-3311 |
Mr. Larry Wayne Ladd, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1333 S Sam Houston Blvd, Texas Co Memorial Hospital, Houston, MO 65483 Phone: 417-967-3311 | |
Mr. James S Spantgos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-3311 Fax: 417-967-3764 | |
Mr. Marvin T. Colyer, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-1265 Fax: 417-967-1328 | |
Mr. Andrew T. Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-3311 Fax: 417-967-1328 |