| Kristine M Wilfong, CRNA | |
|
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
| (816) 271-6350 | |
| (816) 271-6753 |
| Full Name | Kristine M Wilfong |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 5325 Faraon St, Saint Joseph, Missouri |
| 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 |
|---|---|---|---|
| 1588844799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704217202 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704217202 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Physicians' Medical Center Llc | New albany, IN | Hospital |
| Mclaren Flint | Flint, MI | Hospital |
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Baptist Health Floyd | New albany, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Asa Staffing Inc | 3971898644 | 113 |
| Long Lake Anesthesiology Consultants Plc | 7113818980 | 68 |
| Mclaren Flint | 8628975497 | 143 |
| Associated Anesthesiologists Of Fort Wayne Pc | 2264412444 | 89 |
| Entity Name | Anesthesia Services Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497797153 PECOS PAC ID: 4385557602 Enrollment ID: O20031111000822 |
| Entity Name | Mclaren Flint |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346373339 PECOS PAC ID: 8628975497 Enrollment ID: O20031218000620 |
| Entity Name | Long Lake Anesthesiology Consultants Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194812651 PECOS PAC ID: 7113818980 Enrollment ID: O20040322001289 |
| Entity Name | Surgical Centers Of Michigan Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1962463133 PECOS PAC ID: 1355393364 Enrollment ID: O20050218000062 |
| Entity Name | Resource Anesthesiology Associates Of Mi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568755882 PECOS PAC ID: 4082883053 Enrollment ID: O20110808000715 |
| Entity Name | Macomb Endoscopy Center Plc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1780923128 PECOS PAC ID: 1850536012 Enrollment ID: O20130319000064 |
| Entity Name | Asa Staffing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
| Entity Name | Prime Healthcare Services-port Huron Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1912525361 PECOS PAC ID: 7214245208 Enrollment ID: O20200729002203 |
| Entity Name | Pinnacle Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295301133 PECOS PAC ID: 8628471190 Enrollment ID: O20210721000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine M Wilfong, CRNA 5301 Faraon St Ste 120, Saint Joseph, MO 64506-3512 Ph: (816) 271-1066 | Kristine M Wilfong, CRNA 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6350 |
Mr. Kenneth Jude Conde, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4510 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-364-9992 | |
Christopher Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4510 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-364-9992 | |
Samuel L Jeffers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-1365 Fax: 816-271-6753 | |
Aloysia Lonergan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Sylvia Brainoo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Robert Neil Fisher, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Mrs. Susan Klosterman-finke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4301 Rainbow Ct, Saint Joseph, MO 64506 Phone: 816-262-0543 Fax: 816-279-3118 |