| Mrs Kristen Doherty, AA-C | |
|
615 S. New Ballas Rd., Dept. Of Anesthesiology, St. Louis, MO 63141 | |
| (314) 251-4687 | |
| (636) 386-7679 |
| Full Name | Mrs Kristen Doherty |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 11 Years |
| Location | 615 S. New Ballas Rd., St. Louis, 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 |
|---|---|---|---|
| 1780005488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 2014016080 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Anesthesiology Associates Inc | 6204720667 | 188 |
| Entity Name | Western Anesthesiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275646754 PECOS PAC ID: 6204720667 Enrollment ID: O20040226000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristen Doherty, AA-C 339 Consort Dr, Ballwin, MO 63011-4439 Ph: (636) 386-9224 | Mrs Kristen Doherty, AA-C 615 S. New Ballas Rd., Dept. Of Anesthesiology, St. Louis, MO 63141 Ph: (314) 251-4687 |
Mr. Jesse Graham Gibbons, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3635 Vista, St. Louis, MO 63110 Phone: 314-577-8000 | |
Ms. Nancy M Behnen, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3635 Vista Avenue, Fdt-3, St. Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Ms. Thalia Fernandez, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 615 S. New Ballas Rd. Dept Of Anesthesia, St. Louis, MO 63141 Phone: 636-386-9224 Fax: 636-386-7679 |