| Jacob Kirtley, | |
|
6420 Clayton Rd, Richmond Heights, MO 63117-1811 | |
| (314) 768-8000 | |
| Not Available |
| Full Name | Jacob Kirtley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 6420 Clayton Rd, Richmond Heights, 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 |
|---|---|---|---|
| 1568925048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 123786 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| St Luke's Des Peres Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro-west Anesthesia Group Inc | 2163329921 | 184 |
| Entity Name | Metro-west Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
| Entity Name | Anesthesia Partners Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270465 PECOS PAC ID: 3870557986 Enrollment ID: O20041118000270 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Kirtley, 7839 Navajoe St, Saint Louis, MO 63123-2754 Ph: () - | Jacob Kirtley, 6420 Clayton Rd, Richmond Heights, MO 63117-1811 Ph: (314) 768-8000 |
Alex Schoenbeck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Rd, Richmond Heights, MO 63117 Phone: 314-768-8000 | |
Dr. Kevin Luke Kanallakan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Rd, Richmond Heights, MO 63117 Phone: 314-768-8000 |