Dr Grant Nicholas Bleeker, MD (AS OF 5/15/10) | |
200 Hawkins Dr, Iowa City, IA 52242-1007 | |
(417) 770-3406 | |
Not Available |
Full Name | Dr Grant Nicholas Bleeker |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 14 Years |
Location | 200 Hawkins Dr, Iowa City, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063739894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | APPLICATION ACTIVE (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ballas Anesthesia Inc | 5092615310 | 51 |
Missouri Baptist Medical Center | 3476461955 | 59 |
Entity Name | Ballas Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306894241 PECOS PAC ID: 5092615310 Enrollment ID: O20040415001276 |
Entity Name | Missouri Baptist Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609658905 PECOS PAC ID: 3476461955 Enrollment ID: O20240111001744 |
Mailing Address | Practice Location Address |
---|---|
Dr Grant Nicholas Bleeker, MD (AS OF 5/15/10) 8202 S 90th Plz Apt 12, La Vista, NE 68128-4001 Ph: (417) 770-3406 | Dr Grant Nicholas Bleeker, MD (AS OF 5/15/10) 200 Hawkins Dr, Iowa City, IA 52242-1007 Ph: (417) 770-3406 |
Clark Joseph Obr, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 | |
Dr. Chaitra Mukundan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 | |
Bennett Allen Hartmann, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1338 Fax: 319-356-2940 | |
Mrs. Judith Burton Dillman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 E Market St, Iowa City, IA 52245 Phone: 319-354-2653 Fax: 319-339-1364 | |
Shawn T Simmons, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 | |
Ronald M Lind, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 | |
Dr. Andrea Vannucci, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 |