| Mrs Lana Elaine Wanstreet, CRNA | |
|
1125 Madison St, Jefferson City, MO 65101-5227 | |
| (573) 632-5000 | |
| (573) 634-2033 |
| Full Name | Mrs Lana Elaine Wanstreet |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1125 Madison St, Jefferson City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023032885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209000788 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 137303 (Missouri) | Primary |
| Entity Name | G & G Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20150930000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lana Elaine Wanstreet, CRNA 11495 Southpoint Ln, West Frankfort, IL 62896-4976 Ph: (618) 713-6441 | Mrs Lana Elaine Wanstreet, CRNA 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000 |
John G Charbonneau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Carl G. Bone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Larry D. Winegar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Hanna Jo Findley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 | |
Eric K. Hale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Zane Noel Hartgraves, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 |