| Lisa Butler, CRNA | |
|
1515 Union Ave, Moberly, MO 65270-9407 | |
| (573) 686-5550 | |
| Not Available |
| Full Name | Lisa Butler |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 44 Years |
| Location | 1515 Union Ave, Moberly, 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 |
|---|---|---|---|
| 1376514216 | NPI | - | NPPES |
| 125164 | Other | MO | MO BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 098504 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moberly Regional Medical Center | Moberly, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moberly Anesthesia Associates, Llc | 7416083878 | 3 |
| Entity Name | Moberly Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598737850 PECOS PAC ID: 7416083878 Enrollment ID: O20100325000204 |
| Entity Name | Capital Anesthesia Solutions Of Missouri, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Butler, CRNA 28572 State Highway T, Excello, MO 65247-2206 Ph: (573) 686-5550 | Lisa Butler, CRNA 1515 Union Ave, Moberly, MO 65270-9407 Ph: (573) 686-5550 |
Larry Meyers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 573-686-5550 | |
Dr. Joshua David Delozier, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 660-263-8400 | |
Gregory Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 573-686-5550 | |
William George Wall Ii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2103 Silva Lane, Moberly, MO 65270 Phone: 660-263-1266 |