Mr Glenn Ray White, CRNA | |
112 Jefferson St, West Union, IA 52175-1022 | |
(563) 422-3811 | |
Not Available |
Full Name | Mr Glenn Ray White |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 112 Jefferson St, West Union, 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 |
---|---|---|---|
1497058259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2011002332 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | D130493 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Clare Memorial Hospital Inc | 0446211395 | 35 |
Midwest Alliance Services Llc | 9234477092 | 12 |
Entity Name | St Clare Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
Entity Name | Gastrointestinal Associates S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760546949 PECOS PAC ID: 4385677814 Enrollment ID: O20050915000417 |
Entity Name | Midwest Alliance Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336612795 PECOS PAC ID: 9234477092 Enrollment ID: O20190221000168 |
Mailing Address | Practice Location Address |
---|---|
Mr Glenn Ray White, CRNA Po Box 7687, Columbia, MO 65205-7687 Ph: (573) 882-2259 | Mr Glenn Ray White, CRNA 112 Jefferson St, West Union, IA 52175-1022 Ph: (563) 422-3811 |
Mr. Richard Yngve Jacobson Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-3811 | |
Barry Spreen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 319-422-3811 | |
Nikki A. Bonitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-7381 | |
Kenneth Bryan Beach, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-9738 |