| Roger B Moss, CRNA | |
| 823 Sw Mulvane St, Suite 210, Topeka, KS 66606-1679 | |
| (785) 235-3451 | |
| (785) 235-1435 | 
| Full Name | Roger B Moss | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 823 Sw Mulvane St, Topeka, Kansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285698662 | NPI | - | NPPES | 
| 100357700A | Medicaid | KS | |
| 145473 | Other | KS | BCBS | 
| 100357700D | Medicaid | KS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 54697 (Kansas) | Primary | 
| 163W00000X | Registered Nurse | 54697 (Kansas) | Secondary | 
| Entity Name | Labette County Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336133362 PECOS PAC ID: 5496664369 Enrollment ID: O20031112000344 | 
| Entity Name | Anesthesia Associates Of Topeka Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518933837 PECOS PAC ID: 5698675437 Enrollment ID: O20040109000467 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Roger B Moss, CRNA 823 Sw Mulvane St, Suite 210, Topeka, KS 66606-1679 Ph: (785) 235-3451 | Roger B Moss, CRNA 823 Sw Mulvane St, Suite 210, Topeka, KS 66606-1679 Ph: (785) 235-3451 | 
| Roger Vickery, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2200 Sw 6th Ave, Topeka, KS 66606 Phone: 785-354-8518 Fax: 785-354-1255 | |
| Shannon Schwarz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 Sw 7th St, Topeka, KS 66606 Phone: 785-295-8111 | |
| Michelle D Andrews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606 Phone: 785-235-3451 Fax: 785-235-1435 | |
| Donald I Pekrul, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606 Phone: 785-235-3451 Fax: 785-235-1435 | |
| Laci Lee Hansen,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606 Phone: 785-235-3451 | |
| Brett Barkemeyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 Sw 7th St, Topeka, KS 66606 Phone: 952-442-9770 | |
| David W Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606 Phone: 785-235-3451 Fax: 785-235-1435 |