| Ms Jessica Lee Roberts, CRNA | |
|
3550 Mckelvey Rd, Bridgeton, MO 63044-2527 | |
| (314) 741-0911 | |
| Not Available |
| Full Name | Ms Jessica Lee Roberts |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3550 Mckelvey Rd, Bridgeton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417351461 | NPI | - | NPPES |
| 2014042601 | Other | NBCRNA | |
| ENROLLED | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2014037232 (Missouri) | Primary |
| Entity Name | Comprehensive Anesthesia Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215975156 PECOS PAC ID: 5799698551 Enrollment ID: O20031107000275 |
| Entity Name | Ips Of St Louis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316182173 PECOS PAC ID: 6709916372 Enrollment ID: O20100608000294 |
| Entity Name | Dreamland Uap Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073919494 PECOS PAC ID: 9133442825 Enrollment ID: O20150105001419 |
| Entity Name | Aim Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245685601 PECOS PAC ID: 3971896705 Enrollment ID: O20160801001265 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jessica Lee Roberts, CRNA 550 Oak Commons Dr, Ballwin, MO 63021-6279 Ph: (571) 205-8774 | Ms Jessica Lee Roberts, CRNA 3550 Mckelvey Rd, Bridgeton, MO 63044-2527 Ph: (314) 741-0911 |
Timothy J Guernsey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Harriett Hadi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 469-757-1042 Fax: 855-917-2066 | |
Amanda S Schoenbeck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Gina Newberry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 469-757-1042 Fax: 855-917-2066 | |
Taren Ashley Rutz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12303 Depaul Dr, Bridgeton, MO 63044 Phone: 314-775-2816 | |
Mr. William P Killeen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7049 Fax: 314-344-7073 |