| Kelley Coggin, CRNA | |
|
500 Porter Ave, Aurora, MO 65605-2365 | |
| (417) 678-7800 | |
| Not Available |
| Full Name | Kelley Coggin |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 500 Porter Ave, Aurora, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093173767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2016003736 (Missouri) | Primary |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335 |
| Entity Name | Ozark Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831109586 PECOS PAC ID: 1850290149 Enrollment ID: O20041109000614 |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20061104000261 |
| Entity Name | Mercy Hospital Cassville |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20100118000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Coggin, CRNA 500 Porter Ave, Aurora, MO 65605-2365 Ph: (417) 678-7800 | Kelley Coggin, CRNA 500 Porter Ave, Aurora, MO 65605-2365 Ph: (417) 678-7800 |
Mr. Darrell Eugene Meredith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Porter Ave, Aurora, MO 65605 Phone: 417-678-2122 | |
Dr. Joseph Vancamp, M.D. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Porter Ave, Aurora, MO 65605 Phone: 417-887-5568 Fax: 417-883-5514 |