| Jerry Clarkson, CRNA | |
|
200 Commodore St, Pratt, KS 67124-2903 | |
| (620) 672-7451 | |
| (316) 652-0340 |
| Full Name | Jerry Clarkson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 Commodore St, Pratt, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558339010 | NPI | - | NPPES |
| 100143840C | Medicaid | KS | |
| 012137 | Other | KS | BCBS |
| 200029270A | Medicaid | OK | |
| 430001730 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 54408 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Clarkson, CRNA Po Box 1919, Wichita, KS 67201-1919 Ph: (316) 685-3698 | Jerry Clarkson, CRNA 200 Commodore St, Pratt, KS 67124-2903 Ph: (620) 672-7451 |
Chad M Janzen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Commodore St, Pratt, KS 67124 Phone: 620-672-7451 | |
Charles Gunnerson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Commodore St, Pratt, KS 67124 Phone: 620-672-7451 Fax: 316-652-0340 | |
Heidi Ary, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 E 4th St, Pratt, KS 67124 Phone: 620-672-7855 | |
Jessica J Moffitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Commodore St, Pratt, KS 67124 Phone: 620-672-7451 | |
Brett Andrew Martin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Commodore St, Pratt, KS 67124 Phone: 620-672-7451 |