| Mrs Christine M Johnson, CRNA | |
|
1298 Eisenhower Rd, Leavenworth, KS 66048-5532 | |
| (913) 727-5600 | |
| (816) 727-5602 |
| Full Name | Mrs Christine M Johnson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 35 Years |
| Location | 1298 Eisenhower Rd, Leavenworth, Kansas |
| 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 |
|---|---|---|---|
| 1013083732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 095632 (Missouri) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 55414 (Kansas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 1656 Anesthesia Llc | 7012154255 | 10 |
| Entity Name | 1656 Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861734865 PECOS PAC ID: 7012154255 Enrollment ID: O20130508000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Christine M Johnson, CRNA 1298 Eisenhower Rd, Leavenworth, KS 66048-5532 Ph: (913) 727-5600 | Mrs Christine M Johnson, CRNA 1298 Eisenhower Rd, Leavenworth, KS 66048-5532 Ph: (913) 727-5600 |
Kenneth Dean Moburg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1298 Eisenhower Rd, Leavenworth, KS 66048 Phone: 913-727-5600 Fax: 913-727-5602 | |
Ruth Pottinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16225 Gilman Rd., Leavenworth, KS 66048 Phone: 913-727-5600 Fax: 913-727-5602 | |
Suzanne K Marske, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1298 Eisenhower Rd, Leavenworth, KS 66048 Phone: 913-727-5600 Fax: 913-727-5602 | |
William Joseph Mathia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1298 Eisenhower Rd, Leavenworth, KS 66048 Phone: 913-727-5600 Fax: 913-727-5602 |