Nicholas Patrick Kummer, CRNA | |
401 W Glynn Dr, Parkston, SD 57366-9605 | |
(605) 928-3311 | |
Not Available |
Full Name | Nicholas Patrick Kummer |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 401 W Glynn Dr, Parkston, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124705462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CR001143 (South Dakota) | Primary |
Entity Name | Avera Queen Of Peace |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
Entity Name | Sanford Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
Entity Name | Sacred Heart Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861611683 PECOS PAC ID: 6103729066 Enrollment ID: O20040128000978 |
Entity Name | Avera St Marys |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
Entity Name | Avera Queen Of Peace |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1992466635 PECOS PAC ID: 9335050806 Enrollment ID: O20220301001771 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Patrick Kummer, CRNA 408 N Bismark St, Parkston, SD 57366-2001 Ph: () - | Nicholas Patrick Kummer, CRNA 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-3311 |
Kenneth R Travnicek, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 |