Timothy P Newcomb, CRNA | |
3400 Dexter Ct, Suite 101, Davenport, IA 52807-3461 | |
(563) 344-6600 | |
(563) 344-6699 |
Full Name | Timothy P Newcomb |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3400 Dexter Ct, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548227382 | NPI | - | NPPES |
IA0120 | Other | IA | JOHN DEERE HEALTHPLAN |
0435800 | Medicaid | IA | |
16166 | Other | IA | BLUECROSS BLUE SHIELD |
P00232878 | Other | IA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D-094792 (Iowa) | Primary |
Entity Name | Precision Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053741322 PECOS PAC ID: 9335378264 Enrollment ID: O20140218001577 |
Mailing Address | Practice Location Address |
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Timothy P Newcomb, CRNA 3400 Dexter Ct, Suite 101, Davenport, IA 52807-3461 Ph: (563) 344-6600 | Timothy P Newcomb, CRNA 3400 Dexter Ct, Suite 101, Davenport, IA 52807-3461 Ph: (563) 344-6600 |
Tara M Kinney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3400 Dexter Ct Ste 104, Davenport, IA 52807 Phone: 563-334-0234 Fax: 563-334-0235 | |
Julie A Ridgley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3400 Dexter Ct, Suite 101, Davenport, IA 52807 Phone: 563-344-6600 Fax: 563-344-6699 | |
Dr. Laura Ann Holst, DNP, ANESTHESIA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-324-8160 | |
Mrs. Dana Sue Coffman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3400 Dexter Ct, Suite 101, Davenport, IA 52807 Phone: 563-344-6746 Fax: 563-344-6740 | |
Sarah A Butcher, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3400 Dexter Ct, Davenport, IA 52807 Phone: 563-344-6600 | |
Mrs. Connie Colleen Mykleby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1227 East Rusholme Street, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889 |