| Mr Brian Lee Moore, CRNA | |
|
6615 Briarwood Cir, Wichita, KS 67212-2986 | |
| (316) 729-4474 | |
| (316) 729-4474 |
| Full Name | Mr Brian Lee Moore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 6615 Briarwood Cir, Wichita, 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 |
|---|---|---|---|
| 1013961804 | NPI | - | NPPES |
| 144874 | Other | KS | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 54974 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kansas Spine & Specialty Hospital, Llc | Wichita, KS | Hospital |
| Mercy Hospital, Inc | Moundridge, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital Inc | 9436163474 | 11 |
| Kansas Spine Anesthesia Corporation Pa | 1153586821 | 56 |
| Entity Name | Hospital District No 1 of Rice Co |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710962014 PECOS PAC ID: 0648175042 Enrollment ID: O20070702000519 |
| Entity Name | Kansas Spine Anesthesia Corporation PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720345911 PECOS PAC ID: 1153586821 Enrollment ID: O20120702000174 |
| Entity Name | Kansas Endoscopy LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538153887 PECOS PAC ID: 2769383256 Enrollment ID: O20170413000112 |
| Entity Name | Mercy Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083628911 PECOS PAC ID: 9436163474 Enrollment ID: O20211209000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Lee Moore, CRNA 6615 Briarwood Cir, Wichita, KS 67212-2986 Ph: (316) 729-4474 | Mr Brian Lee Moore, CRNA 6615 Briarwood Cir, Wichita, KS 67212-2986 Ph: (316) 729-4474 |
Jaysa L Nichols, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave, Suite 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-858-1556 |
George Findley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave Ste 250, Wichita, KS 67206 Phone: 316-461-4497 Fax: 316-686-1557 |
Jill C Gallagher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8330 E Overbrook St, Wichita, KS 67206 Phone: 316-644-1193 |
Janet L Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3450 N Rock Rd Ste 208, Wichita, KS 67226 Phone: 316-685-6091 |
Seth Claassen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave Ste 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-686-1557 |
Wade Frederick Winter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 Fax: 316-291-4272 |
Mark Agpoon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3314 N 124th St W, Wichita, KS 67223 Phone: 316-722-8049 Fax: 316-722-8049 |