| Mr Shelby Tanner Mollenkamp, CRNA | |
|
1500 Sw 10th Ave, Topeka, KS 66604-1301 | |
| (785) 354-6000 | |
| Not Available |
| Full Name | Mr Shelby Tanner Mollenkamp |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 1500 Sw 10th Ave, Topeka, 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 |
|---|---|---|---|
| 1578021374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 13-120438-042 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 557708 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salina Regional Health Center | Salina, KS | Hospital |
| Kansas Surgery & Recovery Center | Wichita, KS | Hospital |
| Mitchell County Hospital Health Systems | Beloit, KS | Hospital |
| Neosho Memorial Regional Medical Center | Chanute, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Colleagues Ks Pa | 3870921984 | 25 |
| Anesthesia Associates Of Central Kansas Pa | 6406744093 | 32 |
| Anesthesia Consulting Services, Pa | 7214849710 | 74 |
| Mitchell County Hospital Health Systems | 7517995012 | 10 |
| Entity Name | Anesthesia Consulting Services, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518070416 PECOS PAC ID: 7214849710 Enrollment ID: O20031113000271 |
| Entity Name | Mitchell County Hospital Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245369511 PECOS PAC ID: 7517995012 Enrollment ID: O20050818000946 |
| 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 Shelby Tanner Mollenkamp, CRNA 4 E Piankishaw St, Paola, KS 66071-1717 Ph: (785) 754-8265 | Mr Shelby Tanner Mollenkamp, CRNA 1500 Sw 10th Ave, Topeka, KS 66604-1301 Ph: (785) 354-6000 |
Roger Vickery, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2200 Sw 6th Ave, Topeka, KS 66606 Phone: 785-354-8518 Fax: 785-354-1255 | |
Shannon Schwarz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 Sw 7th St, Topeka, KS 66606 Phone: 785-295-8111 | |
Michelle D Andrews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606 Phone: 785-235-3451 Fax: 785-235-1435 | |
Donald I Pekrul, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606 Phone: 785-235-3451 Fax: 785-235-1435 | |
Laci Lee Hansen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606 Phone: 785-235-3451 | |
Brett Barkemeyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 Sw 7th St, Topeka, KS 66606 Phone: 952-442-9770 | |
David W Hart, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606 Phone: 785-235-3451 Fax: 785-235-1435 |