| Marguerite Elizabeth Kelly-salo, CRNA | |
|
14616 W 50th St, Shawnee, KS 66216-5107 | |
| (913) 268-0284 | |
| Not Available |
| Full Name | Marguerite Elizabeth Kelly-salo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 14616 W 50th St, Shawnee, Kansas |
| 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 |
|---|---|---|---|
| 1902047608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1484333061 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 556879 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Grove Hospital | Grove, OK | Hospital |
| Integris Miami Hospital | Miami, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Four States Anesthesia Services Llc | 8729973284 | 25 |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Entity Name | Four States Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053382929 PECOS PAC ID: 8729973284 Enrollment ID: O20241227003152 |
| Mailing Address | Practice Location Address |
|---|---|
| Marguerite Elizabeth Kelly-salo, CRNA 14616 W 50th St, Shawnee, KS 66216-5107 Ph: (913) 268-0284 | Marguerite Elizabeth Kelly-salo, CRNA 14616 W 50th St, Shawnee, KS 66216-5107 Ph: (913) 268-0284 |
Amber Tiberio, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6302 Monrovia St, Shawnee, KS 66216 Phone: 913-341-6767 | |
Christita S Weber, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6910 Gleason Rd, Shawnee, KS 66226 Phone: 913-579-5101 | |
Stephanie L. Ungashick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16663 Midland Dr # 200, Shawnee, KS 66217 Phone: 913-227-4618 |