| Philip Yust, CRNA | |
|
2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | |
| (816) 781-7200 | |
| (816) 792-7196 |
| Full Name | Philip Yust |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 42 Years |
| Location | 2525 Glenn Hendren Dr, Liberty, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952381105 | NPI | - | NPPES |
| P02320850 | Other | MO | RAILROAD |
| 919421107 | Medicaid | MO | |
| 200277760A | Medicaid | KS | |
| 43082021 | Other | MO | BCBS KC |
| P00157094 | Other | KS | RAILROAD MEDICARE |
| 103453 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 54351 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2009024212 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital Llc | Leawood, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascentist Physicians Group Llc | 9335143759 | 110 |
| Entity Name | Ascentist Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649206319 PECOS PAC ID: 9335143759 Enrollment ID: O20060829000434 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Yust, CRNA Po Box 804408, Kansas City, MO 64180-4408 Ph: (913) 647-4100 | Philip Yust, CRNA 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 Ph: (816) 781-7200 |
Cristin Vancleve, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 | |
Todd Otte, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Patrick Vescovo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 | |
Jennifer Everett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 |