Mr Larry Stewart, CRNA | |
1518 Mulberry Ave, Muscatine, IA 52761-3433 | |
(563) 264-9100 | |
Not Available |
Full Name | Mr Larry Stewart |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1518 Mulberry Ave, Muscatine, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255311148 | NPI | - | NPPES |
2060095 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 055021 (Iowa) | Primary |
Entity Name | Unity Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629122742 PECOS PAC ID: 8224931548 Enrollment ID: O20040202000524 |
Entity Name | Medical Analgesic Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659892446 PECOS PAC ID: 0749552099 Enrollment ID: O20170821002760 |
Mailing Address | Practice Location Address |
---|---|
Mr Larry Stewart, CRNA 1518 Mulberry Ave, Muscatine, IA 52761-3433 Ph: (563) 264-9100 | Mr Larry Stewart, CRNA 1518 Mulberry Ave, Muscatine, IA 52761-3433 Ph: (563) 264-9100 |
Mr. Dale Wilder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1518 Mulberry Ave, Muscatine, IA 52761 Phone: 563-264-9100 | |
Ms. Ann Leland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1518 Mulberry Ave, Muscatine, IA 52761 Phone: 563-264-9100 | |
Mr. Patrick David Kelsall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1710 Cobblestone Dr, Muscatine, IA 52761 Phone: 563-264-9304 | |
Mr. Richard Maynard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1518 Mulberry Ave, Muscatine, IA 52761 Phone: 563-264-9100 |