Jacob Matthew Miller, CRNA | |
1316 S Main St, Clarion, IA 50525-2019 | |
(515) 532-2811 | |
(515) 532-9336 |
Full Name | Jacob Matthew Miller |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1316 S Main St, Clarion, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992110498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 43-557316-021 (Kansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | D142357 (Iowa) | Primary |
Entity Name | Osborne County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437240595 PECOS PAC ID: 7517877848 Enrollment ID: O20050429000933 |
Entity Name | Norton County Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1801892740 PECOS PAC ID: 0648181768 Enrollment ID: O20061104000322 |
Mailing Address | Practice Location Address |
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Jacob Matthew Miller, CRNA 1316 S Main St, Clarion, IA 50525-2019 Ph: (515) 532-2811 | Jacob Matthew Miller, CRNA 1316 S Main St, Clarion, IA 50525-2019 Ph: (515) 532-2811 |
Tamara A. Brownell, CRNA,MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Sandy Beach Rd, Clarion, IA 50525 Phone: 515-535-2485 | |
Dr. Brandon Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1316 S Main St, Clarion, IA 50525 Phone: 844-474-4321 | |
Danielle Weller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1316 S Main St, Clarion, IA 50525 Phone: 515-532-2811 | |
David M Kellerman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1316 S Main St, Clarion, IA 50525 Phone: 515-532-9273 Fax: 515-532-9336 | |
Carla Louise Aldrich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1316 S Main St, Clarion, IA 50525 Phone: 515-532-2811 | |
Jeffrey J Kalvig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1316 S Main, Clarion, IA 50525 Phone: 515-532-2811 Fax: 515-532-9336 | |
Tia Prebeck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1316 S Main St., Clarion, IA 50525 Phone: 515-532-2811 Fax: 515-532-9245 |