| Mark A Lee, CRNA | |
|
1 Hospital Dr, Columbia, MO 65212-0001 | |
| (573) 882-2568 | |
| (855) 903-0985 |
| Full Name | Mark A Lee |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 Hospital Dr, Columbia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932180940 | NPI | - | NPPES |
| 919955203 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2010029874 (Missouri) | Primary |
| Entity Name | Capital Region Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Lee, CRNA Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Mark A Lee, CRNA 1 Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-2568 |
Kari A Mylenbusch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Mrs. Megan Elaine Hilderbrand, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Melissa Grcic-jacobelli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 | |
Allyson J Ihms, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 Portland St Ste 100, Columbia, MO 65201 Phone: 573-777-8818 Fax: 573-777-8819 | |
Zebulon E Thomeczek, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 | |
Matthew Ryan Nanney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Anna Marie Wong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1316 Old 63 S Ste 102, Columbia, MO 65201 Phone: 573-875-8838 |