Jacob Schrader, CRNA | |
1500 N Oakland Ave, Bolivar, MO 65613-3011 | |
(417) 326-6000 | |
Not Available |
Full Name | Jacob Schrader |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1500 N Oakland Ave, Bolivar, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780314179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 138671 (Missouri) | Primary |
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Entity Name | Mercy St Francis Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20040120000229 |
Entity Name | Mercy St Francis Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20061104000139 |
Entity Name | Citizens Memorial Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
Mailing Address | Practice Location Address |
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Jacob Schrader, CRNA 4691 S Farm Road 213, Rogersville, MO 65742-9266 Ph: (417) 224-7394 | Jacob Schrader, CRNA 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 |
Jason Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-777-6911 Fax: 660-826-4852 | |
Rodney Hoover, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 660-826-5960 Fax: 660-826-4852 |