Mr Michael E Tadlock, CRNA | |
916 4th Ave. Sw, Pipestone, MN 56164 | |
(507) 825-5811 | |
(563) 556-8334 |
Full Name | Mr Michael E Tadlock |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 916 4th Ave. Sw, Pipestone, Minnesota |
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 |
---|---|---|---|
1609837350 | NPI | - | NPPES |
0453241 | Medicaid | IA | |
44335300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D103531 (Iowa) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 223779-0 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hawarden Regional Healthcare | Hawarden, IA | Hospital |
Sioux Center Health | Sioux center, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Floyd Valley Healthcare | 2769385475 | 25 |
Sioux Center Health | 9032027495 | 29 |
Entity Name | Alegent Creighton Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598811069 PECOS PAC ID: 1951210418 Enrollment ID: O20040116000817 |
Entity Name | Floyd Valley Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578625653 PECOS PAC ID: 2769385475 Enrollment ID: O20040129001169 |
Entity Name | Sioux Center Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669542981 PECOS PAC ID: 9032027495 Enrollment ID: O20040224001315 |
Entity Name | Hawarden Regional Healthcare |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1841261104 PECOS PAC ID: 0547257990 Enrollment ID: O20081002000123 |
Entity Name | Mercy Medical Center-newton |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134509292 PECOS PAC ID: 7911803176 Enrollment ID: O20150713000204 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael E Tadlock, CRNA 916 4th Ave. Sw, Pipestone, MN 56164 Ph: (507) 825-5811 | Mr Michael E Tadlock, CRNA 916 4th Ave. Sw, Pipestone, MN 56164 Ph: (507) 825-5811 |
Howard Georgeson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 916 4th Ave Sw, Pipestone, MN 56164 Phone: 507-825-6134 | |
Shauna Gansen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 916 4th Ave Sw, Pipestone, MN 56164 Phone: 507-825-5700 Fax: 507-825-6106 |