| John Phillip Weller, CRNA | |
|
1124 W 21st St, Andover, KS 67002-5500 | |
| (316) 300-4000 | |
| Not Available |
| Full Name | John Phillip Weller |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1124 W 21st St, Andover, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588603104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 54299 (Kansas) | Primary |
| Entity Name | Kansas Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255380127 PECOS PAC ID: 2668476862 Enrollment ID: O20061109000659 |
| Entity Name | Kansas Spine Anesthesia Corporation Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720345911 PECOS PAC ID: 1153586821 Enrollment ID: O20120702000174 |
| Entity Name | Vision Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346514130 PECOS PAC ID: 7719142223 Enrollment ID: O20120709000429 |
| Mailing Address | Practice Location Address |
|---|---|
| John Phillip Weller, CRNA 1124 W 21st St, Andover, KS 67002-5500 Ph: (316) 300-4000 | John Phillip Weller, CRNA 1124 W 21st St, Andover, KS 67002-5500 Ph: (316) 300-4000 |
Terry Keith Blue, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 E Waterview Dr, Andover, KS 67002 Phone: 316-425-8153 Fax: 316-425-8153 | |
Jeff Andrew Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-300-4000 | |
Ms. Sharon L Barocco, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2117 S Andover Rd, Andover, KS 67002 Phone: 316-733-8166 | |
Caitlin Carpenter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-440-3200 | |
Mrs. Pegah Vahdat Harlan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 945 W Threewood Ct, Andover, KS 67002 Phone: 515-339-6994 | |
Salem Michelle Wagner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 785-392-7620 Fax: 316-300-4040 |