| Mr Thomas Frederick Payne Jr, CRNA | |
|
1110 W Elm St, Chanute, KS 66720-1430 | |
| (620) 212-0588 | |
| Not Available |
| Full Name | Mr Thomas Frederick Payne Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 1110 W Elm St, 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 |
|---|---|---|---|
| 1881849222 | NPI | - | NPPES |
| 910017262 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 13-93470091 (Kansas) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2022038981 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Kansas Hlth System St Francis Campus | Topeka, KS | Hospital |
| Mercy Hospital Pittsburg, Inc | Pittsburg, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Pittsburg Llc | 7618418088 | 45 |
| Kansas University Physicians Inc | 8921911587 | 1809 |
| 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 University Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
| Entity Name | Freeman Surgical Center of Pittsburg, LLC |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1881089076 PECOS PAC ID: 6608186895 Enrollment ID: O20151029002046 |
| Entity Name | Saint Lukes Hospital of Allen County Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639185457 PECOS PAC ID: 5496178691 Enrollment ID: O20200707001214 |
| Entity Name | Saint Lukes Hospital of Allen County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639185457 PECOS PAC ID: 5496178691 Enrollment ID: O20200805001823 |
| Entity Name | Sound Physicians Anesthesiology of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20230119000417 |
| Entity Name | Mercy Clinic Pittsburg LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912751884 PECOS PAC ID: 7618418088 Enrollment ID: O20240925002855 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Frederick Payne Jr, CRNA Po Box 732, Chanute, KS 66720-0732 Ph: (620) 212-0588 | Mr Thomas Frederick Payne Jr, CRNA 1110 W Elm St, Chanute, KS 66720-1430 Ph: (620) 212-0588 |
Monty Roy John, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare 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. Brook H. Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 629 S Plummer Ave, Chanute, KS 66720 Phone: 620-431-4000 Fax: 620-431-7556 |