| Decarla Bush, | |
|
4401 Wornall Rd, Kansas City, MO 64111-3220 | |
| (816) 932-2000 | |
| Not Available |
| Full Name | Decarla Bush |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4401 Wornall Rd, Kansas City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174375356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2024029080 (Missouri) | Primary |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Entity Name | Capital Anesthesia Solutions Of Missouri, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Decarla Bush, 2905 Nw 4th St, Blue Springs, MO 64014-1221 Ph: (816) 885-8300 | Decarla Bush, 4401 Wornall Rd, Kansas City, MO 64111-3220 Ph: (816) 932-2000 |
Michael S Filla, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-276-4000 | |
Kelli A Pryor, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1100 | |
Sydney L. Overton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-763-5446 Fax: 816-763-8426 | |
Jennifer Lee Hugo Francisco, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-701-5200 Fax: 816-302-9939 | |
Adrienne Jill Rader, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-763-5446 Fax: 816-763-8426 | |
Ms. Kelly R Gordon, RN ARNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1318 E 104th St, Kansas City, MO 64131 Phone: 816-256-5200 | |
Jon R Featherston, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1100 |