| Mrs Brenda C Shealy, CRNA | |
|
3801 S National Ave, Springfield, MO 65807-5210 | |
| (417) 269-6000 | |
| Not Available |
| Full Name | Mrs Brenda C Shealy |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 36 Years |
| Location | 3801 S National Ave, Springfield, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568551448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 075234 (Missouri) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | C01097 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baxter Regional Medical Center | Mountain home, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baxter County Regional Hospital Inc | 0042389264 | 90 |
| Arkansas Anesthesia Associates Pllc | 6406023142 | 71 |
| Entity Name | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114178753 PECOS PAC ID: 0042389264 Enrollment ID: O20081212000269 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brenda C Shealy, CRNA 125county Road 622, Oak Grove, AR 72660 Ph: (870) 749-2097 | Mrs Brenda C Shealy, CRNA 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-6000 |
Olivia M. Kilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Mr. David E Meinhardt, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 E Primrose St, Springfield, MO 65804 Phone: 417-886-3937 Fax: 417-886-1285 | |
Jacquelyn B Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 | |
Dione E Blansit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 | |
Jesse D Collins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Bradley A Korman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
John D Ford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 |