Diane M Smith, CRNA | |
2720 Stone Park Blvd, Sioux City, IA 51104-3734 | |
(712) 279-3290 | |
(712) 233-8095 |
Full Name | Diane M Smith |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 28 Years |
Location | 2720 Stone Park Blvd, Sioux City, Iowa |
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 |
---|---|---|---|
1407814932 | NPI | - | NPPES |
0123695 | Medicaid | IA | |
0151944 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 097805 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Regional Medical Center | Sioux city, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Consultants Pc | 6103716626 | 19 |
Entity Name | Anesthesia Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497854574 PECOS PAC ID: 6103716626 Enrollment ID: O20040318000486 |
Mailing Address | Practice Location Address |
---|---|
Diane M Smith, CRNA Po Box 683, Sioux City, IA 51102-0683 Ph: (712) 279-3290 | Diane M Smith, CRNA 2720 Stone Park Blvd, Sioux City, IA 51104-3734 Ph: (712) 279-3290 |
Lance D Breit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-255-2324 | |
Robert Baczwaski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-255-2324 | |
Raichatou Ann Jackson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3500 | |
Patrick Menke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3500 | |
Deborah Carter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 801 5th St, Sioux City, IA 51101 Phone: 712-279-2505 | |
Dr. Jared Gregory Feiner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3500 | |
Mr. Robert A Schoenfelder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3290 |