Jay A Honomichl, CRNA | |
802 Kenyon Rd, Fort Dodge, IA 50501-5740 | |
(515) 573-3101 | |
(515) 574-6456 |
Full Name | Jay A Honomichl |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 802 Kenyon Rd, Fort Dodge, 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 |
---|---|---|---|
1447233325 | NPI | - | NPPES |
0484121 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 100598 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trinity Regional Medical Center | Fort dodge, IA | Hospital |
Humboldt County Memorial Hospital | Humboldt, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinity Regional Medical Center | 7315858529 | 123 |
Entity Name | Trinity Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
Mailing Address | Practice Location Address |
---|---|
Jay A Honomichl, CRNA Po Box 310117, Des Moines, IA 50331-0001 Ph: (800) 303-7642 | Jay A Honomichl, CRNA 802 Kenyon Rd, Fort Dodge, IA 50501-5740 Ph: (515) 573-3101 |
Suzanne M Clapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 802 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-573-3101 | |
Solveig A Lundgren, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 802 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-573-3101 | |
Eric K Hage, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 802 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-573-3101 Fax: 515-574-6456 | |
Joni Whipple, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 802 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-573-3101 | |
Andrew Doster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 802 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-573-3101 | |
Colin D Brown, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 802 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-573-3101 |