Mr Richard Maynard, CRNA | |
1518 Mulberry Ave, Muscatine, IA 52761-3433 | |
(563) 264-9100 | |
Not Available |
Full Name | Mr Richard Maynard |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 26 Years |
Location | 1518 Mulberry Ave, Muscatine, 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 |
---|---|---|---|
1922087196 | NPI | - | NPPES |
0418814 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 108460 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trinity Muscatine | Muscatine, IA | Hospital |
Genesis Medical Center-dewitt | Dewitt, IA | Hospital |
Trinity - Bettendorf | Bettendorf, IA | Hospital |
Genesis Medical Center, Aledo | Aledo, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Apollo Anesthesia And Pain Management Pllc | 9133550544 | 18 |
Genesis Medical Center, Aledo | 7315190436 | 15 |
Unity Healthcare | 8224931548 | 56 |
Entity Name | Unity Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629122742 PECOS PAC ID: 8224931548 Enrollment ID: O20040202000524 |
Entity Name | Apollo Anesthesia And Pain Management Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265051817 PECOS PAC ID: 9133550544 Enrollment ID: O20220720001402 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Maynard, CRNA 1518 Mulberry Ave, Muscatine, IA 52761-3433 Ph: (563) 264-9100 | Mr Richard Maynard, 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. Larry Stewart, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled 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 |