| Dr Shane Arthur Kraske, MD | |
|
2769 Heartland Drive, Suite 105, Coralville, IA 52241 | |
| (319) 545-7310 | |
| (319) 545-7314 |
| Full Name | Dr Shane Arthur Kraske |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 2769 Heartland Drive, Coralville, 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 |
|---|---|---|---|
| 1568419604 | NPI | - | NPPES |
| 44527 | Other | IA | BLUE CROSS BLUE SHIELD |
| 19402 | Other | IA | BLUE CROSS BLUE SHIELD |
| 0253070 | Medicaid | IA | |
| 2253070 | Medicaid | IA | |
| 30171 | Other | IA | BLUE CROSS BLUE SHIELD |
| 1253070 | Medicaid | IA | |
| 44526 | Other | IA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 33735 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mahaska Health Partnership | Oskaloosa, IA | Hospital |
| Compass Memorial Healthcare | Marengo, IA | Hospital |
| Ottumwa Regional Health Center | Ottumwa, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mahaska County Hospital | 2769388677 | 96 |
| Radiologic Medical Services Pc | 3577451491 | 22 |
| Corridor Radiology Llc | 7214179829 | 7 |
| Entity Name | Radiologic Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023061702 PECOS PAC ID: 3577451491 Enrollment ID: O20040310000805 |
| Entity Name | Mahaska County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407869852 PECOS PAC ID: 2769388677 Enrollment ID: O20041202000965 |
| Entity Name | Mahaska County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356320659 PECOS PAC ID: 2769388677 Enrollment ID: O20061104000235 |
| Entity Name | Corridor Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679917371 PECOS PAC ID: 7214179829 Enrollment ID: O20130812000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Arthur Kraske, MD 2771 Oakdale Blvd Ste 3, Coralville, IA 52241-9747 Ph: (319) 545-7310 | Dr Shane Arthur Kraske, MD 2769 Heartland Drive, Suite 105, Coralville, IA 52241 Ph: (319) 545-7310 |
Dr. Colin James O'brien, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2769 Heartland Dr, Suite 105, Coralville, IA 52241 Phone: 319-545-7310 Fax: 319-545-7314 | |
Dr. Jared Wynn Nelson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2769 Heartland Drive, Suite 105, Coralville, IA 52241 Phone: 319-545-7300 Fax: 319-545-7314 | |
Dr. Scott Michael Truhlar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2769 Heartland Drive, Suite 105, Coralville, IA 52241 Phone: 319-545-7300 Fax: 319-545-7314 | |
Dr. James Alan Wiese, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2769 Heartland Drive, Suite 105, Coralville, IA 52241 Phone: 319-545-7300 Fax: 319-545-7314 | |
Aminata Traore, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2771 Oakdale Blvd Ste 3, Coralville, IA 52241 Phone: 319-545-7310 | |
Dr. Kirk Kendal Garmager, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2769 Heartland Dr, Suite 105, Coralville, IA 52241 Phone: 319-545-7310 Fax: 319-545-7314 |