| Debra A Hoerth, CRNA | |
|
120 Hospital Dr, Lebanon, MO 65536-9238 | |
| (417) 533-6100 | |
| Not Available |
| Full Name | Debra A Hoerth |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 120 Hospital Dr, Lebanon, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114918646 | NPI | - | NPPES |
| P00398983 | Other | KS | RR MEDICARE GROUP CQ2302 |
| 100381010B | Medicaid | KS | |
| 145411 | Other | KS | BCBS OF KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 151783 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 524 |
| Entity Name | Gateway Anesthesia And Pain Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710026125 PECOS PAC ID: 0042314668 Enrollment ID: O20070409000257 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Arizona Advanced Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134479892 PECOS PAC ID: 0941454953 Enrollment ID: O20130129000024 |
| Entity Name | Grand Canyon Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356822902 PECOS PAC ID: 3678824752 Enrollment ID: O20180928002378 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra A Hoerth, CRNA 758 N Dogwood Ct, Nixa, MO 65714-7216 Ph: (503) 369-7978 | Debra A Hoerth, CRNA 120 Hospital Dr, Lebanon, MO 65536-9238 Ph: (417) 533-6100 |
David Houzenga, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Sara L Kruse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6026 | |
Susan Love, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Mr. Nathan S Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 Fax: 417-533-6021 | |
Janice A Shore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 800-277-8151 Fax: 336-841-6217 | |
Desiree Calbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 |