| Jeannie Marie Peterson, CRNA | |
|
1102 W 32nd St, Joplin, MO 64804-3503 | |
| (417) 347-1111 | |
| Not Available |
| Full Name | Jeannie Marie Peterson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1102 W 32nd St, Joplin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992775506 | NPI | - | NPPES |
| 100787980A | Medicaid | OK | |
| 915240105 | Medicaid | MO | |
| 100389550D | Medicaid | KS | |
| 430061375 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 55028 (Kansas) | Primary |
| Entity Name | Saint Lukes Hospital Of Garnett Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619901725 PECOS PAC ID: 8729071691 Enrollment ID: O20040406001183 |
| Entity Name | Coffeyville Regional Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265550891 PECOS PAC ID: 9032108865 Enrollment ID: O20040507000813 |
| Entity Name | Freeman Surgical Center Of Pittsburg, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1881089076 PECOS PAC ID: 6608186895 Enrollment ID: O20151029002046 |
| Entity Name | Saint Lukes Hospital Of Allen County Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639185457 PECOS PAC ID: 5496178691 Enrollment ID: O20200707001214 |
| Entity Name | Saint Lukes Hospital Of Allen County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639185457 PECOS PAC ID: 5496178691 Enrollment ID: O20200805001823 |
| Entity Name | Mercy Clinic Pittsburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912751884 PECOS PAC ID: 7618418088 Enrollment ID: O20240925002855 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannie Marie Peterson, CRNA 302 N Hospital Dr, Girard, KS 66743-2000 Ph: (417) 347-1078 | Jeannie Marie Peterson, CRNA 1102 W 32nd St, Joplin, MO 64804-3503 Ph: (417) 347-1111 |
Mr. Austin Boone Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Mrs. Allison Marie Lutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Jonathan Eric Drowns, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Terry W Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Julie A Burd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Ashley Nickole Khachi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 | |
Bryan Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-5222 |