| Leslie B Marvin, CRNA | |
|
8740 Nieman Rd, Overland Park, KS 66214-1741 | |
| (913) 894-4050 | |
| (913) 428-2951 |
| Full Name | Leslie B Marvin |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8740 Nieman Rd, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215904123 | NPI | - | NPPES |
| 918395302 | Medicaid | MO | |
| 100418420B | Medicaid | KS | |
| 430072326 | Other | KS | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1488610052 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 55062 (Kansas) | Primary |
| Entity Name | Anesthesia Associates Of Kansas City Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174504732 PECOS PAC ID: 1951206168 Enrollment ID: O20050721001069 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie B Marvin, CRNA 8717 W 110th St Ste 600, Overland Park, KS 66210-2126 Ph: (913) 428-2900 | Leslie B Marvin, CRNA 8740 Nieman Rd, Overland Park, KS 66214-1741 Ph: (913) 894-4050 |
Gay Ann Colliton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213 Phone: 816-389-6030 Fax: 816-389-6034 | |
Sonya Jurgens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-428-2900 Fax: 913-428-2951 | |
Carol Lynn Russell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5520 College Blvd, Suite 200, Overland Park, KS 66211 Phone: 913-491-3040 | |
Reed Tenney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-428-2900 | |
Mrs. Valerie Lynn Wilen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10500 Quivira Rd, Overland Park, KS 66215 Phone: 816-763-5446 | |
Alexis Zecy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10203 Bond St, Overland Park, KS 66214 Phone: 913-522-1114 | |
Ann Squire, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213 Phone: 816-389-6030 Fax: 816-389-6034 |