| Diane M Madsen, CRMA | |
|
401 E Spruce St, Garden City, KS 67846-5679 | |
| (620) 272-2222 | |
| Not Available |
| Full Name | Diane M Madsen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 401 E Spruce St, Garden City, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568788677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | TMP140632 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 76659 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Woodlawn Hospital | Rochester, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Anesthesia Pc | 0648183442 | 9 |
| Ams Northern Indiana Llc | 8022444306 | 13 |
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Commonwealth Anesthesia, Psc | 5092627521 | 194 |
| Entity Name | Great Lakes Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039977 PECOS PAC ID: 0648183442 Enrollment ID: O20031107000452 |
| Entity Name | Ams Northern Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427619840 PECOS PAC ID: 8022444306 Enrollment ID: O20200205000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane M Madsen, CRMA 2830 E Prestwick Rd, Winona Lake, IN 46590-8910 Ph: (620) 805-9113 | Diane M Madsen, CRMA 401 E Spruce St, Garden City, KS 67846-5679 Ph: (620) 272-2222 |
Thomas Scott Troy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 N Campus, Garden City, KS 67846 Phone: 620-276-7699 | |
Christopher Friedly, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 | |
Chris P Omenski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 Fax: 620-272-2216 | |
John Christian Newcomer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 | |
Lynn Gage Dunford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 N Campus, Garden City, KS 67846 Phone: 620-276-7699 | |
Mr. Brian L Tackitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2610 |