| Jacob J Dutcher, CRNA | |
|
300 S Byron Blvd, Chamberlain, SD 57325-9741 | |
| (605) 234-6551 | |
| Not Available |
| Full Name | Jacob J Dutcher |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 300 S Byron Blvd, Chamberlain, 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 |
|---|---|---|---|
| 1093888760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 200653 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Healthcare | Amsterdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Mary's Healthcare | 7618960709 | 119 |
| Entity Name | St. Mary's Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518926401 PECOS PAC ID: 7618960709 Enrollment ID: O20040405001628 |
| Entity Name | Kwiat Eye And Laser Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275763468 PECOS PAC ID: 4789722810 Enrollment ID: O20091111000095 |
| Entity Name | Amsterdam Rec Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1245580711 PECOS PAC ID: 5698911170 Enrollment ID: O20130430000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob J Dutcher, CRNA Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Jacob J Dutcher, CRNA 300 S Byron Blvd, Chamberlain, SD 57325-9741 Ph: (605) 234-6551 |
William Eric Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 | |
Mr. Garrett Richard Houska, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-680-4677 | |
Mr. Michael Ryan Johnson, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 | |
David Scott James, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 | |
Joseph Gerard Zilla Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-7146 | |
Joel D Stauss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 Fax: 605-322-2727 |