| Dr Dalton Sanders, DNP, MBA, CRNA, APRN | |
|
3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | |
| (573) 776-2000 | |
| Not Available |
| Full Name | Dr Dalton Sanders |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 3100 Oak Grove Rd, Poplar Bluff, 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 |
|---|---|---|---|
| 1518746742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2025019587 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Pain Management Llc | 8921410341 | 35 |
| Entity Name | Southeast Health Center of Stoddard County LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790828812 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
| Entity Name | Midwest Anesthesia Providers SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846 |
| Entity Name | Rural Health Pain Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265039556 PECOS PAC ID: 8921410341 Enrollment ID: O20210512002296 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dalton Sanders, DNP, MBA, CRNA, APRN 3010 Jason Ave, Van Buren, MO 63965-7277 Ph: (573) 450-8368 | Dr Dalton Sanders, DNP, MBA, CRNA, APRN 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 Ph: (573) 776-2000 |
Ms. Shirley A Jautz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 221 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-727-9080 |
Joshua Ryan Morse, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 |
Shane D Faltys, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-718-2710 |
Timothy Paul Kordick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4111 |
Roger Dean Faltys, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-727-2295 |
Mr. Richard Leroy Crayton, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721 |
Donald Foust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 219 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-686-5550 |