| Jennifer Everett, CRNA | |
|
2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | |
| (816) 781-7200 | |
| (816) 792-7196 |
| Full Name | Jennifer Everett |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2525 Glenn Hendren Dr, Liberty, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982664850 | NPI | - | NPPES |
| 29676017 | Other | MO | BCBS KC |
| 915233407 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2000168228 (Missouri) | Primary |
| Entity Name | Professional Anesthetic Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053461 PECOS PAC ID: 2365425865 Enrollment ID: O20040607001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Everett, CRNA Po Box 804408, Kansas City, MO 64180-4408 Ph: (913) 647-4100 | Jennifer Everett, CRNA 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 Ph: (816) 781-7200 |
Cristin Vancleve, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 | |
Todd Otte, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Patrick Vescovo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 | |
Philip Yust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 |