| Jeffrey Bradford Enriquez Casperson, RN | |
|
2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | |
| (816) 691-2021 | |
| (816) 346-7690 |
| Full Name | Jeffrey Bradford Enriquez Casperson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 2700 Clay Edwards Dr Ste 240, North Kansas 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 |
|---|---|---|---|
| 1124690201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 557910 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2023008885 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Via Christi Hospital-wichita | Wichita, KS | Hospital |
| Kingman Community Hospital | Kingman, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ninnescah Valley Health Systems Inc | 5799683694 | 11 |
| Mid-continent Anesthesiology Chartered | 9830182575 | 27 |
| Entity Name | Mid-continent Anesthesiology Chartered |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699750273 PECOS PAC ID: 9830182575 Enrollment ID: O20040407000688 |
| Entity Name | Medicine Lodge Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407887193 PECOS PAC ID: 6901879410 Enrollment ID: O20040813000561 |
| Entity Name | Minneola District Hospital Nbr 2 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1013009828 PECOS PAC ID: 1355252545 Enrollment ID: O20070223000124 |
| Entity Name | Wichita Ambulatory Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649754789 PECOS PAC ID: 8921351123 Enrollment ID: O20181105000905 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Bradford Enriquez Casperson, RN 9411 N Oak Trfy Ste Ll1, Kansas City, MO 64155-2262 Ph: (816) 691-1655 | Jeffrey Bradford Enriquez Casperson, RN 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 Ph: (816) 691-2021 |
Alexis Mckenzie Dyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690 | |
Mr. Todd J Zellmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Drive, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247 | |
Ms. Jeanne M Cooper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-691-2000 | |
Steven R Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247 | |
Mrs. Kimberly A. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247 | |
Samantha Strobbe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690 |