Mr Roger George Mendenhall, CRNA is a
Nurse Anesthetist, Certified Registered based in Atlantic, Iowa. Mr Roger George Mendenhall is licensed to practice in Iowa (license number D047194) and his current practice location is
805 Linda Dr, Atlantic, Iowa. He can be reached at his office (for appointments etc.) via phone at
(712) 243-4563.
NPI number for Mr Roger George Mendenhall is 1144254616 and his current mailing address is 805 Linda Dr, Po Box 601, Atlantic, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144254616.
Provider's Profile
| Full Name | Mr Roger George Mendenhall |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 805 Linda Dr, Atlantic, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144254616
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Roger George Mendenhall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144254616 | NPI | - | NPPES |
| 0061069 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D047194 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roger George Mendenhall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Roger George Mendenhall, CRNA
805 Linda Dr, Po Box 601,
Atlantic, IA 50022-2728
Ph: (712) 243-4563 | Mr Roger George Mendenhall, CRNA
805 Linda Dr,
Atlantic, IA 50022-2728
Ph: (712) 243-4563 |
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