Mr Mark L Hilliard, CRNA | |
5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266-8218 | |
(515) 221-9222 | |
(515) 221-0575 |
Full Name | Mr Mark L Hilliard |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5901 Westown Pkwy, West Des Moines, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336147339 | NPI | - | NPPES |
0209593 | Medicaid | IA | |
50171 | Other | IA | WELLMARK GROUP # |
50171 | Other | IA | GROUP MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D090565 (Iowa) | Primary |
Entity Name | Ringgold County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700935202 PECOS PAC ID: 7315849973 Enrollment ID: O20040123000414 |
Entity Name | Broadlawns Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
Entity Name | Metro Anesthesia & Pain Mngmt Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609925627 PECOS PAC ID: 1456343763 Enrollment ID: O20040330000579 |
Entity Name | Ringgold County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1811046568 PECOS PAC ID: 7315849973 Enrollment ID: O20070116000516 |
Entity Name | Ikc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659904803 PECOS PAC ID: 5294140851 Enrollment ID: O20210212002431 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark L Hilliard, CRNA 5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266-8218 Ph: (515) 221-9222 | Mr Mark L Hilliard, CRNA 5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266-8218 Ph: (515) 221-9222 |
Sarah Stephas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Westown Pkwy Ste 210, West Des Moines, IA 50266 Phone: 515-221-9222 | |
Carolyn Kay White, ARNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 Westown Pkwy, West Des Moines, IA 50266 Phone: 515-221-9222 Fax: 515-221-0575 | |
Mrs. Courtney Ann Hartberg, CRNA, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Westown Pkwy Ste 210, West Des Moines, IA 50266 Phone: 515-221-9222 Fax: 515-221-0575 | |
Mrs. Angela Marie Sadler, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266 Phone: 515-221-9222 Fax: 515-221-0575 | |
Mr. Donald F. Franzen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266 Phone: 515-221-9222 Fax: 515-221-0575 | |
Greggory Charles Sutton, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Westown Pkwy, Suite 210, West Des Moines, IA 50266 Phone: 515-221-9222 | |
Anita A Hadley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Westown Pkwy Ste 210, West Des Moines, IA 50266 Phone: 515-221-9222 Fax: 515-221-0575 |