| Theodore Frank Collier, CRNA | |
|
801 N Lincoln Ave, Monett, MO 65708-1641 | |
| (417) 235-3144 | |
| (417) 354-1412 |
| Full Name | Theodore Frank Collier |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 801 N Lincoln Ave, Monett, 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 |
|---|---|---|---|
| 1609977677 | NPI | - | NPPES |
| 917439705 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2001004740 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Desoto Memorial Hospital | Arcadia, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dchd Health Care Professionals Llc | 6800910365 | 15 |
| Entity Name | Dchd Health Care Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346563897 PECOS PAC ID: 6800910365 Enrollment ID: O20100907000065 |
| Entity Name | Care Anesthesia Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437745338 PECOS PAC ID: 2466867379 Enrollment ID: O20210226000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Frank Collier, CRNA Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-5712 | Theodore Frank Collier, CRNA 801 N Lincoln Ave, Monett, MO 65708-1641 Ph: (417) 235-3144 |
Elaine A Jeffreys, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 N Lincoln Ave, Monett, MO 65708 Phone: 417-235-3144 Fax: 417-354-1177 | |
Yvonne Stanke, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 801 N Lincoln Ave, Monett, MO 65708 Phone: 417-235-3144 Fax: 417-354-1412 | |
Janel L Wuthnow, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 N Lincoln Ave, Monett, MO 65708 Phone: 417-235-3144 Fax: 417-354-1177 | |
Brian K Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 801 N Lincoln Ave, Monett, MO 65708 Phone: 417-235-3144 Fax: 417-354-1177 |