| Eric K Hale, CRNA | |
|
1445 Christy Dr, Jefferson City, MO 65101-2853 | |
| (573) 636-3483 | |
| (573) 636-5315 |
| Full Name | Eric K Hale |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 1445 Christy Dr, Jefferson City, 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 |
|---|---|---|---|
| 1134119969 | NPI | - | NPPES |
| 915800007 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 117031 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209023100 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acuity Anesthesiology Llc | 6305992652 | 19 |
| Sarah Bush Lincoln Health Center | 5092614867 | 359 |
| Entity Name | Acuity Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134353030 PECOS PAC ID: 6305992652 Enrollment ID: O20090929000038 |
| Entity Name | Mercy Hospital Perry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515 |
| Entity Name | Mercy Hospital Perry |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231106001433 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric K Hale, CRNA 525 Couch Ave, St. Joe Hospital Of Kirkwood/aneshesia Department, Kirkwood, MO 63122-5536 Ph: (573) 636-3483 | Eric K Hale, CRNA 1445 Christy Dr, Jefferson City, MO 65101-2853 Ph: (573) 636-3483 |
John G Charbonneau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Carl G. Bone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Mrs. Lana Elaine Wanstreet, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-634-2033 | |
Larry D. Winegar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Hanna Jo Findley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 | |
Zane Noel Hartgraves, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 |