| Shanna Tuttle, | |
|
9100 W 74th St, Merriam, KS 66204-4004 | |
| (913) 676-2000 | |
| Not Available |
| Full Name | Shanna Tuttle |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 9100 W 74th St, Merriam, Kansas |
| 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 |
|---|---|---|---|
| 1942697941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2015020549 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 43-557625-121 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth South Overland Park, Inc | Overland park, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Derrick D. Jones P C | 1254467202 | 15 |
| Guardian Anesthesia Specialists Llc | 5092932673 | 26 |
| Novamed Eye Surgery Center Of Overland Park Llc | 7012909872 | 17 |
| Anesthesia Associates Of Kansas City Pa | 1951206168 | 214 |
| Entity Name | Derrick D. Jones P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881918878 PECOS PAC ID: 1254467202 Enrollment ID: O20100329000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna Tuttle, 12106 W 167th Ter, Overland Park, KS 66221-7161 Ph: Not Available | Shanna Tuttle, 9100 W 74th St, Merriam, KS 66204-4004 Ph: (913) 676-2000 |
Mrs. Mary Swingle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-632-2230 |
Mitchell Young, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-676-2000 |
Curtis John Bittner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6815 Frontage Rd, Merriam, KS 66204 Phone: 816-478-4200 Fax: 816-875-2598 |
Stevi Lee Schenkel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8007 W 55th Ter, Merriam, KS 66202 Phone: 309-838-6173 |
Mr. William Alan Cohen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6815 Frontage Rd, Merriam, KS 66204 Phone: 816-478-4200 |
Katie Justine Korneman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-676-2000 |