| Mrs Shanika H Gunderson, CRNA | |
|
2345 Dougherty Ferry Rd, St Louis, MO 63122 | |
| (314) 821-5850 | |
| Not Available |
| Full Name | Mrs Shanika H Gunderson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 2345 Dougherty Ferry 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 |
|---|---|---|---|
| 1326256363 | NPI | - | NPPES |
| 914462007 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2001003222 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Des Peres Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro-west Anesthesia Group Inc | 2163329921 | 184 |
| Entity Name | Metro-west Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shanika H Gunderson, CRNA 13523 Barrett Parkway Dr, Suite 210, Ballwin, MO 63021-3802 Ph: (314) 775-2816 | Mrs Shanika H Gunderson, CRNA 2345 Dougherty Ferry Rd, St Louis, MO 63122 Ph: (314) 821-5850 |
Gary P Muetzelfeld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3933 S Broadway, St Louis, MO 63118 Phone: 314-865-7992 | |
Roger G. Cerny, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11133 Dunn Road, St Louis, MO 63136 Phone: 314-923-4640 | |
Yousra Amor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St Luke's Des Peres Hospital, 2345 Dougherty Ferry Rd, St Louis, MO 63122 Phone: 314-996-9100 | |
Ms. Marie Floretta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 | |
Ms. Karen D Lucas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 | |
Billy F Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2345 Dougherty Ferry Rd, St Louis, MO 63122 Phone: 314-821-1256 Fax: 314-821-1239 |