| Lisa M Burmeister, CRNA | |
| 
					1000 W 10th St, Rolla, MO 65401-2905  | |
| (573) 458-8899 | |
| (573) 341-5611 | 
| Full Name | Lisa M Burmeister | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1000 W 10th St, Rolla, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275210932 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2023026328 (Missouri) | Primary | 
| Entity Name | Phelps County Regional Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405  | 
| Entity Name | Phelps County Regional Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20041005000085  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa M Burmeister, CRNA 1050 W 10th St, Rolla, MO 65401-2905 Ph: (573) 458-8899  | Lisa M Burmeister, CRNA 1000 W 10th St, Rolla, MO 65401-2905 Ph: (573) 458-8899  | 
Blaine Goodman,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899  | |
Amanda C Wagner,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 Fax: 573-341-5611  | |
Charles Boone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899  | |
Collin Dobson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899  | |
Jason Anthony Corey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899  | |
Nathan Micklautz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899  |