| Olivia Xenia Mae Sognesand, CRNA | |
|
One Hospital Dr, Columbia, MO 65212-0001 | |
| (573) 882-2568 | |
| (855) 903-0985 |
| Full Name | Olivia Xenia Mae Sognesand |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | One Hospital Dr, Columbia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760102396 | NPI | - | NPPES |
| RN2371339 | Other | MA | DIVISION OF PROFESSIONAL LICENSURE |
| 110193095A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN2371339 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2023048380 (Missouri) | Primary |
| Entity Name | The Curators Of The University Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Xenia Mae Sognesand, CRNA 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690 Ph: () - | Olivia Xenia Mae Sognesand, CRNA One Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-2568 |
Kari A Mylenbusch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Mrs. Megan Elaine Hilderbrand, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Melissa Grcic-jacobelli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 | |
Allyson J Ihms, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 Portland St Ste 100, Columbia, MO 65201 Phone: 573-777-8818 Fax: 573-777-8819 | |
Zebulon E Thomeczek, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 | |
Matthew Ryan Nanney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Anna Marie Wong, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1316 Old 63 S Ste 102, Columbia, MO 65201 Phone: 573-875-8838 |