| Dr Jean M Covillo, DNAP, CRNA | |
|
11261 Nall Ave Ste 200, Leawood, KS 66211-1696 | |
| (913) 721-3641 | |
| (913) 721-3649 |
| Full Name | Dr Jean M Covillo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 34 Years |
| Location | 11261 Nall Ave Ste 200, Leawood, Kansas |
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 108523 (Missouri) | Primary |
| 163W00000X | Registered Nurse | 108523 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Care Llc | 4385544600 | 47 |
| Eye Care Llc | 4385544600 | 47 |
| 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 11261 Nall Ave Ste 200, Leawood, KS 66211-1696 Ph: (913) 721-3641 |
Dennis Hogenkamp, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3651 College Blvd, Anesthesia Dept, Leawood, KS 66211 Phone: 816-389-6030 Fax: 816-389-6034 | |
Wayne Mcqueary, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3651 College Blvd, Anesthesia Dept, Leawood, KS 66211 Phone: 816-389-6030 Fax: 816-389-6034 | |
Dennis Cummings, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5001 College Blvd, Suite #103, Leawood, KS 66211 Phone: 913-888-2237 Fax: 913-541-5610 | |
Mrs. Carmeta Denise Shaw-jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Epic Eye Surgery Center, Llc, 11261 Nall Avenue #200, Leawood, KS 66211 Phone: 913-671-3290 | |
Kimberly A Moehle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11413 Ash St, Ste 100, Leawood, KS 66211 Phone: 913-661-9977 Fax: 913-661-9577 | |
Mr. Bradley Joseph Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4801 College Blvd, Leawood, KS 66211 Phone: 913-491-3999 Fax: 913-491-9309 |