| Matthew Smith, CRNA | |
|
9100 W 74th St, Shawnee, KS 66204-4004 | |
| (913) 632-2230 | |
| (913) 748-9319 |
| Full Name | Matthew Smith |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 9100 W 74th St, Shawnee, Kansas |
| 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 |
|---|---|---|---|
| 1619488152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 140612 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 557553 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Entity Name | Midwest Anesthesia Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336192392 PECOS PAC ID: 4981597838 Enrollment ID: O20040204000690 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20050302000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Smith, CRNA Po Box 411895 Dept 109, Kansas City, MO 64141 Ph: (913) 642-4900 | Matthew Smith, CRNA 9100 W 74th St, Shawnee, KS 66204-4004 Ph: (913) 632-2230 |
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 |