| Ms Danielle Lee Petersmith, CRNA | |
|
615 S New Ballas Rd, Saint Louis, MO 63141-8221 | |
| (636) 386-9224 | |
| (636) 386-7679 |
| Full Name | Ms Danielle Lee Petersmith |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 615 S New Ballas Rd, Saint 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 |
|---|---|---|---|
| 1174899199 | NPI | - | NPPES |
| ENROLLED | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2014008543 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Anesthesiology Associates Inc | 6204720667 | 175 |
| Orthomed Staffing Llc | 9638429178 | 237 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528005642 PECOS PAC ID: 9830008770 Enrollment ID: O20031118001093 |
| 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: O20040209000602 |
| 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 |
| Entity Name | Uap Scopes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043636798 PECOS PAC ID: 1052535689 Enrollment ID: O20140620001426 |
| Entity Name | Dreamland Uap Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073919494 PECOS PAC ID: 9133442825 Enrollment ID: O20150105001419 |
| Entity Name | Orthomed Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20220505000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Danielle Lee Petersmith, CRNA 339 Consort Dr, Ballwin, MO 63011-4439 Ph: (636) 386-9224 | Ms Danielle Lee Petersmith, CRNA 615 S New Ballas Rd, Saint Louis, MO 63141-8221 Ph: (636) 386-9224 |
Ms. Mary Katherine Kinworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12634 Olive Blvd, Dept Anesthesiology, Saint Louis, MO 63141 Phone: 800-862-9980 Fax: 314-362-1185 | |
Ms. Kelsey Elise Fogus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 | |
Ms. Claira J Sousa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 | |
Claire Aubuchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 129 N Ballas Rd, Saint Louis, MO 63122 Phone: 314-996-5330 Fax: 314-810-1399 | |
Mr. Aaron M Weinzettel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 | |
Ms. Tracy Lanes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-6973 Fax: 314-362-1185 | |
Mr. Michael Mccamley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12634 Olive Blvd, Saint Louis, MO 63141 Phone: 314-996-8685 Fax: 314-996-8479 |