| Wade Kyle Moore, | |
|
1701 E 23rd Ave, Hutchinson, KS 67502-9907 | |
| (620) 524-0799 | |
| Not Available |
| Full Name | Wade Kyle Moore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 1701 E 23rd Ave, Hutchinson, Kansas |
| 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 |
|---|---|---|---|
| 1053107672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 43-558280-122 (Kansas) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hutchinson Regional Medical Center Inc | Hutchinson, KS | Hospital |
| Summit Surgical, Llc | Hutchinson, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hutchinson Regional Medical Center Inc | 0648181198 | 145 |
| Summit Surgical Anesthesia Llc | 7113374737 | 17 |
| Entity Name | Hutchinson Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972605285 PECOS PAC ID: 0648181198 Enrollment ID: O20040119000578 |
| Entity Name | Summit Surgical Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912685397 PECOS PAC ID: 7113374737 Enrollment ID: O20231103000961 |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Kyle Moore, 5 Monarch Ln, Hutchinson, KS 67502-9115 Ph: (620) 245-4715 | Wade Kyle Moore, 1701 E 23rd Ave, Hutchinson, KS 67502-9907 Ph: (620) 524-0799 |
Heidi Lynn Schultz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waldron St, Hutchinson, KS 67502 Phone: 620-669-2500 |
Kelli Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waldron St, Hutchinson, KS 67502 Phone: 620-669-2500 Fax: 620-694-2128 |
Mrs. Michelle Lee Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 216 E 37th Ave, Hutchinson, KS 67502 Phone: 913-626-4628 |
Dalton Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1818 E 23rd Ave, Hutchinson, KS 67502 Phone: 620-663-4800 |
Terry Michael Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1701 East 23rd, Hutchinson, KS 67502 Phone: 620-665-2000 Fax: 620-665-2002 |
Tisha Hoogendoorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 E 23rd Ave, Hutchinson, KS 67502 Phone: 620-524-0799 |
Christopher John Culp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 E 23rd, Hutchinson, KS 67502 Phone: 620-665-2000 |