| Alex Gitau, | |
|
200 Hawkins Dr, Iowa City, IA 52242-1009 | |
| (515) 664-0166 | |
| Not Available |
| Full Name | Alex Gitau |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 Hawkins Dr, Iowa City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| Entity Name | North Iowa Mercy Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273 |
| Entity Name | Mason City Ambulatory Surgery Center , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689251720 PECOS PAC ID: 8123037140 Enrollment ID: O20210427000719 |
| 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: Accepting Medicare Assignments 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 |