| Traci Mae Heese, APRN | |
|
126 Missouri Ave, Glwach (attn: Sheila Ham), Fort Leonard Wood, MO 65473-8952 | |
| (573) 596-0417 | |
| Not Available |
| Full Name | Traci Mae Heese |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 126 Missouri Ave, Fort Leonard Wood, Missouri |
| 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 |
|---|---|---|---|
| 1598747578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 110497 (Nebraska) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CR000714 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phelps County Regional Medical Center | 2860391158 | 94 |
| Entity Name | Phelps County Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Mae Heese, APRN 126 Missouri Ave, Glwach (attn: Sheila Ham), Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417 | Traci Mae Heese, APRN 126 Missouri Ave, Glwach (attn: Sheila Ham), Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417 |
Dr. Sarah Elizabeth Bolin, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Mr. John Sebastian Wong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Missouri Ave, Glwach Attn Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
William Mark Collins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0471 | |
Dr. Benjamin Althuisius, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Dr. Jeevan Bhatta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Allan Anthony Bolido, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 210-563-9539 | |
Mr. Jimmie Constantine Foster, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 |