| Stan D Avery, CRNA | |
|
100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | |
| (816) 347-5000 | |
| (816) 347-5045 |
| Full Name | Stan D Avery |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 100 Ne Saint Lukes Blvd, Lees Summit, 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 |
|---|---|---|---|
| 1578705703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 102966 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Luke's East Hospital | Lees summit, MO | Hospital |
| St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes East Anesthesia Services Pc | 1850333477 | 39 |
| Entity Name | St Lukes East Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649283177 PECOS PAC ID: 1850333477 Enrollment ID: O20050524001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Stan D Avery, CRNA 10310 State Line Rd, Suite A, Leawood, KS 66206-2658 Ph: (913) 647-4100 | Stan D Avery, CRNA 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 Ph: (816) 347-5000 |
Amy Jo Masiongale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 | |
Paula E. Gough, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 | |
Mark Andrew Randtke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 816-282-5000 | |
Leo B Wright, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Ne Mulberry St, Sjs Medical Management, Ste 202, Lees Summit, MO 64086 Phone: 816-389-4130 Fax: 816-389-4140 | |
Derek C Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-347-5000 Fax: 816-347-5045 | |
Ann Renne Mcconnaughhay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 | |
Wesley K Helding, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 913-428-2900 Fax: 913-428-2951 |