| Dr Jean M Covillo, DNAP, CRNA | |
|
1701 S 45th St, Suite A, Kansas City, KS 66106-2527 | |
| (913) 721-3641 | |
| (913) 721-3649 |
| Full Name | Dr Jean M Covillo |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1701 S 45th St, Kansas City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003898453 | NPI | - | NPPES |
| 10001514701 | Other | KS | COMMUNITY HEALTH PLAN |
| P00395162 | Other | KS | RAILROAD MEDICARE |
| 25266032 | Other | MO | BCBS OF KANSAS CITY |
| P00369535 | Other | MO | RAILROAD MEDICARE |
| 10770 | Other | KS | PREFERRED HEALTH SYSTEMS |
| 145350 | Other | KS | BLUE CROSS BLUE SHIELD KANSAS |
| 66048A005 | Other | MO | WPS TRICARE |
| 100254420E | Medicaid | KS | |
| 406B00014 | Other | KS | MEDICARE PTAN |
| 918614223 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 108523 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 108523 (Missouri) | Primary |
| Entity Name | Excel Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366559130 PECOS PAC ID: 1850397787 Enrollment ID: O20061016000529 |
| Entity Name | Eye Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881884211 PECOS PAC ID: 4385544600 Enrollment ID: O20100827000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jean M Covillo, DNAP, CRNA 13851 W 63rd St Ste 433, Shawnee, KS 66216-3800 Ph: (913) 721-3641 | Dr Jean M Covillo, DNAP, CRNA 1701 S 45th St, Suite A, Kansas City, KS 66106-2527 Ph: (913) 721-3641 |
Mrs. Michelle Renee Altenhofen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-5000 | |
Nicki L Hamilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-6670 Fax: 212-263-0664 | |
Renee L Mauer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-6670 Fax: 913-588-3365 | |
Morgan Bassi, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-5000 | |
Kami Lynn Craigg, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-1227 | |
John Wade Fogarty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-1200 | |
Trevor Mason, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-424-2635 |