| Cory Richard Baum, | |
|
3388 Kennedy Cir Ste F, Dubuque, IA 52002-3903 | |
| (563) 556-8332 | |
| Not Available |
| Full Name | Cory Richard Baum |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 3388 Kennedy Cir Ste F, Dubuque, 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 |
|---|---|---|---|
| 1821664582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 252750 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D168879 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Animas Surgical Hospital, Llc | Durango, CO | Hospital |
| Mercyone Dubuque Medical Center | Dubuque, IA | Hospital |
| San Juan Hospital | Monticello, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Associates Clinic P C | 3870491228 | 228 |
| San Juan County Hospital | 4486541851 | 19 |
| Animas Surgical Hospital Llc | 0143295428 | 65 |
| Entity Name | Medical Associates Clinic P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457300790 PECOS PAC ID: 3870491228 Enrollment ID: O20031223000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Richard Baum, 2236 Indy Dr, Asbury, IA 52002-8218 Ph: (636) 346-7412 | Cory Richard Baum, 3388 Kennedy Cir Ste F, Dubuque, IA 52002-3903 Ph: (563) 556-8332 |
Anna M Henningsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Associates Dr, Dubuque, IA 52002 Phone: 563-584-4500 | |
Brett Maag, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 Delhi St, Suite 300, Dubuque, IA 52001 Phone: 563-557-5991 Fax: 563-589-4078 | |
Matthew J Stader, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 John F Kennedy Rd, Dubuque, IA 52002 Phone: 563-556-8332 Fax: 563-556-8334 | |
Coreyne Lynne Kurjatko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 563-582-1881 | |
Phillip Guillien, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 507-459-2358 | |
Terrence J. Hutchcroft, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 Delhi St Suite 300, Dubuque, IA 52001 Phone: 563-557-8500 Fax: 563-589-4050 | |
James W. Wieters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 Delhi St Suite 300, Dubuque, IA 52001 Phone: 563-557-8500 Fax: 563-589-4050 |