| Alex Gitau, | |
|
200 Hawkins Dr, Iowa City, IA 52242-1009 | |
| (515) 664-0166 | |
| Not Available |
| Full Name | Alex Gitau |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 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 |
|---|---|---|---|
| 1710506860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP61630443 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D170863 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Providence Holy Family Hospital | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Service- Washington | 0840279758 | 164 |
| Entity Name | Providence Health & Service- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Gitau, 1000 4th St Sw, Mason City, IA 50401-2800 Ph: (641) 428-7000 | Alex Gitau, 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (515) 664-0166 |
Mr. Larry Joseph Pirotte, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 Hw 6 W, Va Medical Center, Iowa City, IA 52246 Phone: 319-338-0581 | |
Elizabeth M Giedt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 | |
Mrs. Allison Leigh Dale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2210 Fax: 319-356-2940 | |
Mrs. Sara Elizabeth Wertz, RN, BSN, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-7354 | |
Mrs. Hayley Anne Smith, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Dept Of Anesthesia, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 | |
Mitchell Paul Dotson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1616 | |
Laura Johnston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1616 |