| Mr Kelly B Smith, CRNA | |
|
9100 W 74th St, Shawnee Mission, KS 66204-4004 | |
| (913) 632-2230 | |
| (913) 632-2297 |
| Full Name | Mr Kelly B Smith |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 9100 W 74th St, Shawnee Mission, 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 |
|---|---|---|---|
| 1821065319 | NPI | - | NPPES |
| P00032006 | Other | KS | RR MEDICARE |
| 32813018 | Other | KS | BCBS KC |
| 100457780A | Medicaid | KS | |
| 918965401 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1482828061 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 55125 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Anesthesia Associates, Pa | 4981597838 | 99 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kelly B Smith, CRNA Po Box 411895, Kansas City, MO 64141-1895 Ph: (913) 632-2230 | Mr Kelly B Smith, CRNA 9100 W 74th St, Shawnee Mission, KS 66204-4004 Ph: (913) 632-2230 |
Robb A. Aerni, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2679 Fax: 913-789-3191 | |
Lisa A Noyes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-632-2230 Fax: 913-632-2297 | |
Marlene F. Bailey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-632-2230 Fax: 913-632-2297 | |
Katherine M Power, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-632-2230 Fax: 913-632-2297 | |
Erin M. Steinbrink, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-632-2230 Fax: 913-632-2297 | |
Jasmine Mcclendon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-632-2230 Fax: 913-632-2297 | |
Stephanie Anne Klamm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2679 Fax: 913-789-3191 |