| Jessica J Moffitt, CRNA | |
|
200 Commodore St, Pratt, KS 67124-2903 | |
| (620) 672-7451 | |
| Not Available |
| Full Name | Jessica J Moffitt |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 200 Commodore St, Pratt, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467823641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 557368 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pratt Regional Medical Center | Pratt, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Anesthesiology Of Texas Pllc | 1254751407 | 116 |
| Emergenchealth Pllc | 1355606641 | 666 |
| 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 | Sound Physicians Anesthesiology Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20230119000417 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20250107001479 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica J Moffitt, CRNA Po Box 388, Newton, KS 67114-0388 Ph: (316) 281-3716 | Jessica J Moffitt, 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 | |
Jerry Clarkson, 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 | |
Brett Andrew Martin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Commodore St, Pratt, KS 67124 Phone: 620-672-7451 |