Robert H Mielke, CRNA | |
209 S Main St, Poplar Bluff, MO 63901-5831 | |
(573) 686-5550 | |
(573) 686-2139 |
Full Name | Robert H Mielke |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 209 S Main St, Poplar Bluff, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629056650 | NPI | - | NPPES |
P00165165 | Other | MO | RAILROAD MEDICARE |
184883 | Other | MO | IND BCBS |
912876216 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 063979 (Missouri) | Primary |
Entity Name | Guardian Anesthesia Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215366307 PECOS PAC ID: 6608005111 Enrollment ID: O20140203001776 |
Mailing Address | Practice Location Address |
---|---|
Robert H Mielke, CRNA 209 S Main St, Poplar Bluff, MO 63901-5831 Ph: (573) 686-5550 | Robert H Mielke, CRNA 209 S Main St, Poplar Bluff, MO 63901-5831 Ph: (573) 686-5550 |
Ms. Shirley A Jautz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 221 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-727-9080 | |
Joshua Ryan Morse, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 | |
Shane D Faltys, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-718-2710 | |
Timothy Paul Kordick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4111 | |
Roger Dean Faltys, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-727-2295 | |
Mr. Glenn Dean Carlton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 621 W Pine St, Poplar Bluff, MO 63901 Phone: 573-686-4111 | |
Mr. Richard Leroy Crayton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721 |