| Jayme S Vivian, CRNA | |
|
1000 E Cherry St, Troy, MO 63379-1513 | |
| (636) 528-3265 | |
| Not Available |
| Full Name | Jayme S Vivian |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 1000 E Cherry St, Troy, 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 |
|---|---|---|---|
| 1396011847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2006021763 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro-west Anesthesia Group Inc | 2163329921 | 184 |
| Viking Anesthesia Services Llc | 8628393972 | 7 |
| Orthomed Staffing Pllc | 9638429178 | 239 |
| 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 | Viking Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962809244 PECOS PAC ID: 8628393972 Enrollment ID: O20150210000198 |
| Entity Name | Mercy Hospital Lincoln |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150217000619 |
| Entity Name | Mercy Hospital Lincoln |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150623002541 |
| Entity Name | Orthomed Staffing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20220505000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayme S Vivian, CRNA 1000 E Cherry St, Troy, MO 63379-1513 Ph: (636) 528-3265 | Jayme S Vivian, CRNA 1000 E Cherry St, Troy, MO 63379-1513 Ph: (636) 528-3265 |
Sandra K Flemming-kottman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Cherry St, Troy, MO 63379 Phone: 636-528-3329 | |
Lisa C Dugan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 E Cherry St, Troy, MO 63379 Phone: 636-528-8551 |