| Austin Dale, CRNA | |
|
401 9th Ave Nw, Watertown, SD 57201-1548 | |
| (605) 882-7000 | |
| Not Available |
| Full Name | Austin Dale |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 401 9th Ave Nw, Watertown, South Dakota |
| 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 |
|---|---|---|---|
| 1104246289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR000843 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prairie Lakes Healthcare System, Inc | Watertown, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prairie Lakes Health Care System Inc | 8628987823 | 135 |
| Entity Name | Prairie Lakes Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Dale, CRNA Po Box 1210, Watertown, SD 57201-6210 Ph: (605) 882-7000 | Austin Dale, CRNA 401 9th Ave Nw, Watertown, SD 57201-1548 Ph: (605) 882-7000 |
Henry P Voss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7636 | |
Mark E Schulz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7636 | |
Keith A Wanner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7819 | |
Paul A Tobin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7636 | |
Bradley J Fishman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7636 | |
Mr. Kellen Patrick Schmidt, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 |