Mr Bradley Wierda, CRNA | |
2710 Rife Medical Lane, Anesthesia Dept, Rogers, AR 72758-1452 | |
(479) 338-8000 | |
(479) 338-3056 |
Full Name | Mr Bradley Wierda |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 38 Years |
Location | 2710 Rife Medical Lane, Rogers, Arkansas |
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 |
---|---|---|---|
1770560518 | NPI | - | NPPES |
1770560518 | Medicaid | MO | |
179913001 | Medicaid | AR | |
200347410A | Medicaid | OK | |
5V232 | Other | AR | BCBSAR |
P00755473 | Other | AR | RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C02770 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spencer Municipal Hospital | Spencer, IA | Hospital |
Palo Alto County Hospital | Emmetsburg, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Iowa Anesthesia Associates | 3274424932 | 8 |
Entity Name | Northwest Iowa Anesthesia Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871568493 PECOS PAC ID: 3274424932 Enrollment ID: O20040322001977 |
Mailing Address | Practice Location Address |
---|---|
Mr Bradley Wierda, CRNA Po Box 507, Lowell, AR 72745-0507 Ph: (913) 647-4100 | Mr Bradley Wierda, CRNA 2710 Rife Medical Lane, Anesthesia Dept, Rogers, AR 72758-1452 Ph: (479) 338-8000 |
Steven Derek Ceola, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979 | |
Matthew W Shelby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Anesthesia Dept, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979 | |
Chad Silvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 Fax: 479-338-3056 | |
Sean P Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912 | |
Ms. Allison Elizabeth Lee Mckay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979 | |
Monte Clayton Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979 | |
Matthew David Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912 |