| Mrs Julia Dawn Moses, CRNA | |
|
1400 W 4th St, Coffeyville, KS 67337-3306 | |
| (620) 251-1200 | |
| Not Available |
| Full Name | Mrs Julia Dawn Moses |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 1400 W 4th St, Coffeyville, 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 |
|---|---|---|---|
| 1205340445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 43-557542-041 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coffeyville Regional Medical Center, Inc. | 9032108865 | 19 |
| Entity Name | Coffeyville Regional Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265550891 PECOS PAC ID: 9032108865 Enrollment ID: O20040507000813 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Julia Dawn Moses, CRNA 1400 W 4th St, Coffeyville, KS 67337-3306 Ph: (620) 251-1200 | Mrs Julia Dawn Moses, CRNA 1400 W 4th St, Coffeyville, KS 67337-3306 Ph: (620) 251-1200 |
Larry D Phipps, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1400 W 4th St, Coffeyville, KS 67337 Phone: 620-252-1200 | |
Cole R Shawver, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 W 4th St, Coffeyville, KS 67337 Phone: 620-251-1200 | |
Mr. Logan Michael Bustos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 S. Parkview St., Coffeyville, KS 67337 Phone: 620-252-8766 |