| Jennifer L Cronenwett, CRNA | |
|
1531 E 32nd St Ste 6, Joplin, MO 64804-9810 | |
| (417) 627-9699 | |
| (417) 627-9602 |
| Full Name | Jennifer L Cronenwett |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1531 E 32nd St Ste 6, 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 |
|---|---|---|---|
| 1982650305 | NPI | - | NPPES |
| P00112983 | Other | RR MEDICARE | |
| 200020780A | Medicaid | OK | |
| 200252340A | Medicaid | KS | |
| 919028001 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2004000338 (Missouri) | Primary |
| Entity Name | Joplin Ambulatory Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417281601 PECOS PAC ID: 2860539855 Enrollment ID: O20091023000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Cronenwett, CRNA 5404 Butterfield Pl, Loma Linda, MO 64804-8870 Ph: (417) 439-7448 | Jennifer L Cronenwett, CRNA 1531 E 32nd St Ste 6, Joplin, MO 64804-9810 Ph: (417) 627-9699 |
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 |