Travis Randal Schulze, CRNA | |
712 W Main St, Manchester, IA 52057-1525 | |
(563) 822-1435 | |
(563) 822-1436 |
Full Name | Travis Randal Schulze |
---|---|
Gender | Male |
Speciality | Registered Nurse |
Location | 712 W Main St, Manchester, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073248951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D175009 (Iowa) | Secondary |
163W00000X | Registered Nurse | 2019031860 (Missouri) | Primary |
Entity Name | Peoples Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336281245 PECOS PAC ID: 9931010790 Enrollment ID: O20031118000161 |
Entity Name | Delaware County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
Entity Name | Cedar Valley Medical Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462 |
Entity Name | Sumner Community Club |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801818661 PECOS PAC ID: 5890607691 Enrollment ID: O20040109000930 |
Entity Name | Sumner Community Club |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1366442295 PECOS PAC ID: 5890607691 Enrollment ID: O20061215000095 |
Mailing Address | Practice Location Address |
---|---|
Travis Randal Schulze, CRNA 22399 186th Ave, Manchester, IA 52057-8682 Ph: (318) 272-9888 | Travis Randal Schulze, CRNA 712 W Main St, Manchester, IA 52057-1525 Ph: (563) 822-1435 |
Griffin Kopp, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 Fax: 563-822-1436 | |
Matthew Bodine, Registered Nurse Medicare: Medicare Enrolled Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 | |
Anthony Robert Greenwood, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 Fax: 563-822-1436 |