| Dr Elias Kiptoo Melly, CRNA | |
|
1600 E Broadway, Columbia, MO 65201-5844 | |
| (573) 815-8000 | |
| Not Available |
| Full Name | Dr Elias Kiptoo Melly |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1600 E Broadway, Columbia, 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 |
|---|---|---|---|
| 1811546559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D164053 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2019034633 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Regional Medical Center | Fort dodge, IA | Hospital |
| Cherokee Regional Medical Center | Cherokee, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Center Anesthesiologists, P.c. | 4082527270 | 65 |
| Sioux Valley Memorial Hospital Association | 4880501881 | 18 |
| Trinity Regional Medical Center | 7315858529 | 144 |
| Entity Name | Medical Center Anesthesiologists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073552428 PECOS PAC ID: 4082527270 Enrollment ID: O20031112000714 |
| Entity Name | Trinity Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
| Entity Name | Medical Associates Clinic P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457300790 PECOS PAC ID: 3870491228 Enrollment ID: O20031223000311 |
| Entity Name | Sioux Valley Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083610190 PECOS PAC ID: 4880501881 Enrollment ID: O20040317001463 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elias Kiptoo Melly, CRNA 4005 Treetop Ln, Columbia, MO 65202-6216 Ph: () - | Dr Elias Kiptoo Melly, CRNA 1600 E Broadway, Columbia, MO 65201-5844 Ph: (573) 815-8000 |
Kari A Mylenbusch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Mrs. Megan Elaine Hilderbrand, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Melissa Grcic-jacobelli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 | |
Allyson J Ihms, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 Portland St Ste 100, Columbia, MO 65201 Phone: 573-777-8818 Fax: 573-777-8819 | |
Zebulon E Thomeczek, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 | |
Matthew Ryan Nanney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Anna Marie Wong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1316 Old 63 S Ste 102, Columbia, MO 65201 Phone: 573-875-8838 |