| Mr Brook H Roberts, CRNA | |
|
629 S Plummer Ave, Chanute, KS 66720 | |
| (620) 431-4000 | |
| (620) 431-7556 |
| Full Name | Mr Brook H Roberts |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 629 S Plummer Ave, Chanute, 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 |
|---|---|---|---|
| 1629375977 | NPI | - | NPPES |
| PENDING | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 557008 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 111346 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Ks Hlth System Great Bend Campus | Great bend, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ukhs Great Bend Llc | 5597016378 | 57 |
| Entity Name | Labette County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336133362 PECOS PAC ID: 5496664369 Enrollment ID: O20031112000344 |
| Entity Name | Kansas Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255380127 PECOS PAC ID: 2668476862 Enrollment ID: O20061109000659 |
| Entity Name | Ukhs Great Bend Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962997197 PECOS PAC ID: 5597016378 Enrollment ID: O20180918000770 |
| Entity Name | Clinical Colleagues Ks Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548813967 PECOS PAC ID: 3870921984 Enrollment ID: O20200323002520 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brook H Roberts, CRNA 1008 Osa Martin Blvd, Chanute, KS 66720-1830 Ph: (316) 833-1165 | Mr Brook H Roberts, CRNA 629 S Plummer Ave, Chanute, KS 66720 Ph: (620) 431-4000 |
Monty Roy John, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 629 S Plummer Ave, Chanute, KS 66720 Phone: 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. 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 |