| 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 | Nurse Anesthetist, Certified Registered |
| Location | 3601 W 133rd St, Leawood, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| 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 |
|---|---|
| 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: Medicare Enrolled 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 |