Jacob Matthew Miller, CRNA | |
2405 N Dakota Ave, Ames, IA 50014-9019 | |
(515) 532-2811 | |
(515) 532-9336 |
Full Name | Jacob Matthew Miller |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2405 N Dakota Ave, Ames, 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 |
Entity Name | Great Plains Of Smith Co Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1700985116 PECOS PAC ID: 2860300530 Enrollment ID: O20070226000611 |
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 2405 N Dakota Ave, Ames, IA 50014-9019 Ph: (515) 532-2811 |
Dale L Althaus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 Duff Avenue, Ames, IA 50010 Phone: 515-239-2011 | |
Mr. David R. Austin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4329 Stone Brooke Rd, Ames, IA 50010 Phone: 515-233-2355 Fax: 515-233-2355 | |
Kayla Lea Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 512 River Oak Dr, Ames, IA 50010 Phone: 515-451-3747 | |
Joseph L Sabers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1111 Duff Avenue, Ames, IA 50010 Phone: 515-239-2011 |