Jason T Dewilde, CRNA | |
5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266-8218 | |
(515) 221-9222 | |
(515) 221-0575 |
Full Name | Jason T Dewilde |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 5901 Westown Pkwy, West Des Moines, 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 |
---|---|---|---|
1982696043 | NPI | - | NPPES |
50171 | Other | IA | GROUP MEDICARE NUMBER |
0285411 | Medicaid | IA | |
50171 | Other | IA | WELLMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | DO53141 (Iowa) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | D-097433 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Broadlawns Medical Center | Des moines, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Broadlawns Medical Center | 3678466166 | 219 |
Entity Name | Broadlawns Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
Mailing Address | Practice Location Address |
---|---|
Jason T Dewilde, CRNA 5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266-8218 Ph: (515) 221-9222 | Jason T Dewilde, CRNA 5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266-8218 Ph: (515) 221-9222 |
Sarah Stephas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Westown Pkwy Ste 210, West Des Moines, IA 50266 Phone: 515-221-9222 | |
Carolyn Kay White, ARNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 Westown Pkwy, West Des Moines, IA 50266 Phone: 515-221-9222 Fax: 515-221-0575 | |
Mrs. Courtney Ann Hartberg, CRNA, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Westown Pkwy Ste 210, West Des Moines, IA 50266 Phone: 515-221-9222 Fax: 515-221-0575 | |
Mrs. Angela Marie Sadler, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266 Phone: 515-221-9222 Fax: 515-221-0575 | |
Mr. Donald F. Franzen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266 Phone: 515-221-9222 Fax: 515-221-0575 | |
Greggory Charles Sutton, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266 Phone: 515-221-9222 | |
Anita A Hadley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Westown Pkwy Ste 210, West Des Moines, IA 50266 Phone: 515-221-9222 Fax: 515-221-0575 |