| Bryan Andrew Woodworth, CRNA | |
|
3601 W 133rd St, Leawood, KS 66209-3345 | |
| (913) 787-3729 | |
| (913) 730-5463 |
| Full Name | Bryan Andrew Woodworth |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 3601 W 133rd St, Leawood, Kansas |
| 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 |
|---|---|---|---|
| 1578522082 | NPI | - | NPPES |
| P00297139 | Other | MO | MEDICARE PIN RR |
| 915365423 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 149870 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimal Health And Wellness Llc | 8820354475 | 4 |
| Entity Name | Excel Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366559130 PECOS PAC ID: 1850397787 Enrollment ID: O20061016000529 |
| Entity Name | Optimal Health And Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275042350 PECOS PAC ID: 8820354475 Enrollment ID: O20171114002988 |
| Entity Name | Apollo Medical Group Of Overland Park Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588220578 PECOS PAC ID: 3678809092 Enrollment ID: O20190723002859 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Andrew Woodworth, CRNA 3601 W 133rd St, Leawood, KS 66209-3345 Ph: (913) 787-3728 | Bryan Andrew Woodworth, CRNA 3601 W 133rd St, Leawood, KS 66209-3345 Ph: (913) 787-3729 |
Dennis Hogenkamp, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3651 College Blvd, Anesthesia Dept, Leawood, KS 66211 Phone: 816-389-6030 Fax: 816-389-6034 | |
Wayne Mcqueary, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3651 College Blvd, Anesthesia Dept, Leawood, KS 66211 Phone: 816-389-6030 Fax: 816-389-6034 | |
Dennis Cummings, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5001 College Blvd, Suite #103, Leawood, KS 66211 Phone: 913-888-2237 Fax: 913-541-5610 | |
Mrs. Carmeta Denise Shaw-jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Epic Eye Surgery Center, Llc, 11261 Nall Avenue #200, Leawood, KS 66211 Phone: 913-671-3290 | |
Kimberly A Moehle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11413 Ash St, Ste 100, Leawood, KS 66211 Phone: 913-661-9977 Fax: 913-661-9577 | |
Mr. Bradley Joseph Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4801 College Blvd, Leawood, KS 66211 Phone: 913-491-3999 Fax: 913-491-9309 | |
Douglas W Chapman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3651 College Blvd, Anesthesia Dept, Leawood, KS 66211 Phone: 816-389-6030 Fax: 816-389-6034 |