| Olga Alex Chernyak, CRNA | |
|
201 Nw R D Mize Rd, St. Mary's Medical Center/anesthesia Services Of Blue S, Blue Springs, MO 64014-2513 | |
| (816) 988-8415 | |
| (816) 988-8395 |
| Full Name | Olga Alex Chernyak |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 201 Nw R D Mize Rd, Blue Springs, 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 |
|---|---|---|---|
| 1831197680 | NPI | - | NPPES |
| 1831197680 | Medicaid | MO | |
| 158460902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 686439 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2012020211 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| Ssm Depaul Health Center | Bridgeton, 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 |
|---|---|
| Olga Alex Chernyak, CRNA 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015-6320 Ph: (816) 988-8415 | Olga Alex Chernyak, CRNA 201 Nw R D Mize Rd, St. Mary's Medical Center/anesthesia Services Of Blue S, Blue Springs, MO 64014-2513 Ph: (816) 988-8415 |
Timothy D Fundenberger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Mr. Jeremy Michael Daves, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd, Anesthesia Services Of Blue Springs/st. Mary's Medical, Blue Springs, MO 64014 Phone: 816-988-8415 Fax: 816-335-4003 | |
Mrs. Brenda Rae Rutherford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 Nw North Ridge Drive, Suite B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Dina Lynn Lutjen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1209 Nw North Ridge Dr, Suite B, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Leon F Gooden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd, Blue Springs, MO 64014 Phone: 816-228-5900 | |
Denise A Wilson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Jayme H. Thorpe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd, Blue Springs, MO 64014 Phone: 816-228-5900 |