| Gregory A Anderson, CRNA | |
|
1700 W Townline St, Creston, IA 50801-1054 | |
| (641) 782-7091 | |
| (641) 782-3830 |
| Full Name | Gregory A Anderson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1700 W Townline St, Creston, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265641310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R158640 (Maryland) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D134055 (Iowa) | Primary |
| Entity Name | Greater Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902805062 PECOS PAC ID: 9234041013 Enrollment ID: O20040205000926 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory A Anderson, CRNA 1700 W Townline St, Creston, IA 50801-1054 Ph: (641) 782-7091 | Gregory A Anderson, CRNA 1700 W Townline St, Creston, IA 50801-1054 Ph: (641) 782-7091 |
Stephanie Anne Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 W Townline St, Creston, IA 50801 Phone: 641-782-7091 Fax: 641-782-3830 | |
Mr. Brian Gutmann, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1700 W Townline St, Creston, IA 50801 Phone: 641-782-7091 | |
Joel Emerson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 W Townline St, Creston, IA 50801 Phone: 641-782-7091 Fax: 641-782-3830 |