| Monty Roy John, CRNA | |
|
629 S Plummer Ave, Chanute, KS 66720 | |
| (620) 431-4000 | |
| Not Available |
| Full Name | Monty Roy John |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 629 S Plummer Ave, Chanute, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023088747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 54110 (Kansas) | Primary |
| Entity Name | Excel Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366559130 PECOS PAC ID: 1850397787 Enrollment ID: O20061016000529 |
| Entity Name | Brian Tolefree Crna Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487996369 PECOS PAC ID: 9032351846 Enrollment ID: O20130807000609 |
| Mailing Address | Practice Location Address |
|---|---|
| Monty Roy John, CRNA Po Box 388, Newton, KS 67114-0388 Ph: (316) 281-3700 | Monty Roy John, CRNA 629 S Plummer Ave, Chanute, KS 66720 Ph: (620) 431-4000 |
Gregg Alan Rickabaugh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 629 S Plummer, Chanute, KS 66720 Phone: 620-431-4000 | |
Mr. Brook H. Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 629 S Plummer Ave, Chanute, KS 66720 Phone: 620-431-4000 Fax: 620-431-7556 | |
Mr. Thomas Frederick Payne Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1110 W Elm St, Chanute, KS 66720 Phone: 620-212-0588 |