Mr Aldin John Pelican, CRNA | |
415 N Main St, Ulysses, KS 67880-2133 | |
(620) 356-1266 | |
(620) 424-6313 |
Full Name | Mr Aldin John Pelican |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 415 N Main St, Ulysses, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891719571 | NPI | - | NPPES |
CN0216 | Other | AL | MEDICARE TRAVELERS |
P00380505 | Other | AL | MEDICARE TRAVERLERS ID |
015113326 | Medicaid | AL | |
105336 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-081210 (Alabama) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 43-55702 (Kansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Aldin John Pelican, CRNA Po Box 913041, Denver, CO 80291-3041 Ph: (610) 594-5108 | Mr Aldin John Pelican, CRNA 415 N Main St, Ulysses, KS 67880-2133 Ph: (620) 356-1266 |
Michael A Phillips, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Main St, Ulysses, KS 67880 Phone: 620-356-1266 |