| Mrs Jessica Marie Premis, CRNA | |
|
2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | |
| (816) 691-2021 | |
| (816) 346-7690 |
| Full Name | Mrs Jessica Marie Premis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 2700 Clay Edwards Dr Ste 240, North Kansas City, 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 |
|---|---|---|---|
| 1700267788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 557341 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2015032217 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Lukes North Hospital | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Entity Name | Meritas Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801875091 PECOS PAC ID: 6305748153 Enrollment ID: O20040122001058 |
| Entity Name | Northstar Anesthesia Of Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Marie Premis, CRNA 380 W 22nd St, Apt. 508, Kansas City, MO 64108-2077 Ph: (618) 550-9423 | Mrs Jessica Marie Premis, CRNA 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 Ph: (816) 691-2021 |
Alexis Mckenzie Dyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690 | |
Mr. Todd J Zellmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Drive, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247 | |
Ms. Jeanne M Cooper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-691-2000 | |
Steven R Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247 | |
Mrs. Kimberly A. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247 | |
Jeffrey Bradford Enriquez Casperson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690 | |
Samantha Strobbe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690 |