| Brian William Cronstrom, APRN-C | |
|
300 E 12th St, Cozad, NE 69130-1532 | |
| (308) 784-2261 | |
| (308) 784-4961 |
| Full Name | Brian William Cronstrom |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 300 E 12th St, Cozad, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285131375 | NPI | - | NPPES |
| 47037660412 | Medicaid | NE | |
| 1285131375 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 112437 (Nebraska) | Secondary |
| 363L00000X | Nurse Practitioner | 112437 (Nebraska) | Primary |
| Entity Name | Nebraska Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689628372 PECOS PAC ID: 6901707447 Enrollment ID: O20040116000781 |
| Entity Name | Cozad Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528159308 PECOS PAC ID: 6507810389 Enrollment ID: O20050303001046 |
| Entity Name | Cozad Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1881632883 PECOS PAC ID: 6507810389 Enrollment ID: O20070323000121 |
| Entity Name | Methodist Fremont Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235618216 PECOS PAC ID: 7911258520 Enrollment ID: O20181017000110 |
| Entity Name | Vwb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154943835 PECOS PAC ID: 7113349895 Enrollment ID: O20200625002066 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian William Cronstrom, APRN-C Po Box 108, Cozad, NE 69130-0108 Ph: (308) 784-2261 | Brian William Cronstrom, APRN-C 300 E 12th St, Cozad, NE 69130-1532 Ph: (308) 784-2261 |
Amanda Jo Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1803 Papio Ln, Cozad, NE 69130 Phone: 308-784-3535 Fax: 308-784-3534 |