| Kevin Wayne Jacobs, CRNA | |
|
720 West Central, El Dorado, KS 67042 | |
| (316) 321-3300 | |
| Not Available |
| Full Name | Kevin Wayne Jacobs |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 720 West Central, El Dorado, Kansas |
| 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 |
|---|---|---|---|
| 1699740621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 55098 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kansas Medical Center Llc | Andover, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kansas Medical Center Llc | 2668476862 | 42 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Wayne Jacobs, CRNA Po Box 388, Newton, KS 67117-0388 Ph: (316) 281-3700 | Kevin Wayne Jacobs, CRNA 720 West Central, El Dorado, KS 67042 Ph: (316) 321-3300 |
Brian D Haney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 720 W Central Ave, El Dorado, KS 67042 Phone: 316-321-3300 | |
Tommie Lee Mckibban, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 720 West Central, El Dorado, KS 67042 Phone: 316-321-3300 | |
Aric Brendan Deyoung, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 720 W Central, El Dorado, KS 67092 Phone: 316-321-3300 |