| Mr Andrew Thomas Lacek, CRNA | |
|
3660 S Cox Ave Apt 1206, Springfield, MO 65807-6927 | |
| (312) 241-5257 | |
| Not Available |
| Full Name | Mr Andrew Thomas Lacek |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 3660 S Cox Ave Apt 1206, Springfield, 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 |
|---|---|---|---|
| 1114707866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2022009916 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ucsf Medical Center | San francisco, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Anesthesia Medical Group | 2769370535 | 340 |
| Entity Name | University Of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | University Anesthesia Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528137296 PECOS PAC ID: 2769370535 Enrollment ID: O20040304001219 |
| Entity Name | Ucsf Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Thomas Lacek, CRNA 3660 S Cox Ave Apt 1206, Springfield, MO 65807-6927 Ph: (312) 241-5257 | Mr Andrew Thomas Lacek, CRNA 3660 S Cox Ave Apt 1206, Springfield, MO 65807-6927 Ph: (312) 241-5257 |
Ethel Marie Allison, RN, MPH, BSN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4264 Fax: 417-269-4265 | |
Jodie L Clinkenbeard, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1055 E Westchester Dr, Springfield, MO 65810 Phone: 417-877-8739 Fax: 417-877-8739 | |
Shelly Ronayne, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 | |
Nicole Kenney, FNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2715 E Battlefield St, Springfield, MO 65804 Phone: 417-889-0056 | |
Morgan Trokey, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave Ste 5000, Springfield, MO 65804 Phone: 417-820-3912 | |
Sara Maples, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2626 W College Rd, Springfield, MO 65802 Phone: 417-869-8086 | |
Cynthia Anne Shaughnessy, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1911 S National Ave Ste 301, Springfield, MO 65804 Phone: 417-886-5000 |