| Kenneth Bates, CRNA | |
|
1323 W 6th Ave, Stillwater, OK 74074-4306 | |
| (405) 372-1480 | |
| Not Available |
| Full Name | Kenneth Bates |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 1323 W 6th Ave, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174632152 | NPI | - | NPPES |
| 0000145009 | Other | KS | BLUE CROSS OF KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 120925 (Oklahoma) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1380744092 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stillwater Medical Center | Stillwater, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stillwater Medical Center Authority | 2365353794 | 143 |
| Entity Name | Stillwater Medical Center Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558377135 PECOS PAC ID: 2365353794 Enrollment ID: O20040525001304 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Bates, CRNA Po Box 720006, Norman, OK 73070-4006 Ph: (405) 372-1480 | Kenneth Bates, CRNA 1323 W 6th Ave, Stillwater, OK 74074-4306 Ph: (405) 372-1480 |
Jamie L Adams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 304 S Jefferson St Apt 12, Stillwater, OK 74074 Phone: 918-230-2220 | |
Michael Brian Huff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1323 W 6th Ave, Stillwater, OK 74074 Phone: 405-372-1480 Fax: 405-552-9153 | |
Jason W Bennett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1323 W 6th Ave, Stillwater, OK 74074 Phone: 405-742-5300 Fax: 405-742-4990 |