| Paula Kay Rubison, CRNA | |
|
1102 W 32nd St, Joplin, MO 64804-3503 | |
| (417) 347-6671 | |
| Not Available |
| Full Name | Paula Kay Rubison |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1102 W 32nd St, Joplin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982698940 | NPI | - | NPPES |
| 7400146200 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1062144 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2682A (Kentucky) | Primary |
| Entity Name | Lec Ancillary Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982917365 PECOS PAC ID: 0345364725 Enrollment ID: O20100908000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Paula Kay Rubison, CRNA Po Box 5041, Joplin, MO 64803-5041 Ph: (417) 631-2349 | Paula Kay Rubison, CRNA 1102 W 32nd St, Joplin, MO 64804-3503 Ph: (417) 347-6671 |
Mr. Austin Boone Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Mrs. Allison Marie Lutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Jonathan Eric Drowns, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Terry W Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Julie A Burd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Ashley Nickole Khachi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 | |
Bryan Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-5222 |