| Marvin Kullen Poe, CRNA | |
|
1100 N Kentucky Ave, West Plains, MO 65775-2029 | |
| (417) 256-9111 | |
| Not Available |
| Full Name | Marvin Kullen Poe |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 1100 N Kentucky Ave, West Plains, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669815122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R081024 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jonesboro Anesthesia Inc | 6709798077 | 55 |
| Lifelinc Anesthesia V, P.a. | 8921359712 | 33 |
| Entity Name | Jonesboro Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043228448 PECOS PAC ID: 6709798077 Enrollment ID: O20031104000602 |
| Entity Name | Arkansas Methodist Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861593816 PECOS PAC ID: 6608780119 Enrollment ID: O20031124000746 |
| Entity Name | Johnson Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794525 PECOS PAC ID: 1658360284 Enrollment ID: O20040702000283 |
| Entity Name | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114178753 PECOS PAC ID: 0042389264 Enrollment ID: O20081212000269 |
| Entity Name | White County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053662890 PECOS PAC ID: 4880688654 Enrollment ID: O20130510000018 |
| Entity Name | Lifelinc Anesthesia V, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin Kullen Poe, CRNA 602 Oak Park Blvd, West Plains, MO 65775-5195 Ph: (870) 217-5458 | Marvin Kullen Poe, CRNA 1100 N Kentucky Ave, West Plains, MO 65775-2029 Ph: (417) 256-9111 |
Adrianna Nicole Strong, CRNA Registered Nurse Medicare: Medicare Enrolled Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Sarah Jane Wright, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3411 Division Dr, West Plains, MO 65775 Phone: 417-257-9152 | |
Wayna Renfrow, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-260-1927 Fax: 417-260-1927 | |
Brenda Lee Cozbey, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 | |
Tiffany Nicole Chaplin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 | |
Mrs. Emily Redfearn, NP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 181 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-5972 | |
Mrs. Karlee Marvin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 |