Gerald Lynn Kueckelhan, CRNA - Nurse Anesthetist, Certified Registered in Jefferson City, MO

Gerald Lynn Kueckelhan, CRNA is a Nurse Anesthetist, Certified Registered based in Jefferson City, Missouri. Gerald Lynn Kueckelhan is licensed to practice in Missouri (license number 076407) and his current practice location is 2505 Mission Dr, Jefferson City, Missouri. He can be reached at his office (for appointments etc.) via phone at (573) 636-3483.

NPI number for Gerald Lynn Kueckelhan is 1205822152 and his current mailing address is 1445 Christy Dr, Jefferson City, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205822152.

Contact Information

Gerald Lynn Kueckelhan, CRNA
2505 Mission Dr,
Jefferson City, MO 65109-9508
(573) 636-3483
(573) 636-3386



Provider's Profile

Full NameGerald Lynn Kueckelhan
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2505 Mission Dr, Jefferson City, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205822152
  • Provider Enumeration Date: 09/26/2005
  • Last Update Date: 01/26/2016

Medical Identifiers

Medical identifiers for Gerald Lynn Kueckelhan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205822152NPI-NPPES
430050775OtherMORR MEDICARE
913912416MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 076407 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gerald Lynn Kueckelhan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gerald Lynn Kueckelhan, CRNA
1445 Christy Dr,
Jefferson City, MO 65101-2853

Ph: (573) 636-3483
Gerald Lynn Kueckelhan, CRNA
2505 Mission Dr,
Jefferson City, MO 65109-9508

Ph: (573) 636-3483

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› Verified 3 days ago


Nurse Anesthetist, Certified Registered Nurses in Jefferson City, MO

John G Charbonneau, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1445 Christy Dr, Jefferson City, MO 65101
Phone: 573-636-3483    Fax: 573-636-5315
Carl G. Bone, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1445 Christy Dr, Jefferson City, MO 65101
Phone: 573-636-3483    Fax: 573-636-5315
Larry D. Winegar, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1445 Christy Dr, Jefferson City, MO 65101
Phone: 573-636-3483    Fax: 573-636-5315
Eric K. Hale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1445 Christy Dr, Jefferson City, MO 65101
Phone: 573-636-3483    Fax: 573-636-5315
Zane Noel Hartgraves, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2505 Mission Dr, Jefferson City, MO 65109
Phone: 573-636-3483    Fax: 573-636-3386
Garrick Michael Procter, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2505 Mission Dr, Jefferson City, MO 65109
Phone: 573-636-3483    Fax: 573-636-3386

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