Cory Richard Baum, | |
3388 Kennedy Cir Ste F, Dubuque, IA 52002-3903 | |
(563) 556-8332 | |
Not Available |
Full Name | Cory Richard Baum |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 2 Years |
Location | 3388 Kennedy Cir Ste F, Dubuque, Iowa |
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 |
---|---|---|---|
1821664582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 252750 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | D168879 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sevier Valley Hospital | Richfield, UT | Hospital |
Mercyone Dubuque Medical Center | Dubuque, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Associates Clinic P C | 3870491228 | 210 |
Sevier Valley Anesthesia Group Llp | 5991855389 | 7 |
Entity Name | Medical Associates Clinic P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457300790 PECOS PAC ID: 3870491228 Enrollment ID: O20031223000311 |
Mailing Address | Practice Location Address |
---|---|
Cory Richard Baum, 2236 Indy Dr, Asbury, IA 52002-8218 Ph: (636) 346-7412 | Cory Richard Baum, 3388 Kennedy Cir Ste F, Dubuque, IA 52002-3903 Ph: (563) 556-8332 |
Anna M Henningsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 Associates Dr, Dubuque, IA 52002 Phone: 563-584-4500 | |
Brett Maag, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 Delhi St, Suite 300, Dubuque, IA 52001 Phone: 563-557-5991 Fax: 563-589-4078 | |
Matthew J Stader, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 John F Kennedy Rd, Dubuque, IA 52002 Phone: 563-556-8332 Fax: 563-556-8334 | |
Coreyne Lynne Bormann, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 563-582-1881 | |
Phillip Guillien, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 507-459-2358 | |
Terrence J. Hutchcroft, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 Delhi St Suite 300, Dubuque, IA 52001 Phone: 563-557-8500 Fax: 563-589-4050 | |
James W. Wieters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 Delhi St Suite 300, Dubuque, IA 52001 Phone: 563-557-8500 Fax: 563-589-4050 |