| Jacob Schrader, CRNA | |
| 
					1500 N Oakland Ave, Bolivar, MO 65613-3011  | |
| (417) 326-6000 | |
| Not Available | 
| Full Name | Jacob Schrader | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1500 N Oakland Ave, Bolivar, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780314179 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 138671 (Missouri) | Primary | 
| Entity Name | Mercy Clinic Springfield Communities | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354  | 
| Entity Name | Mercy St Francis Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20040120000229  | 
| Entity Name | Mercy St Francis Hospital | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20061104000139  | 
| Entity Name | Citizens Memorial Hospital District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jacob Schrader, CRNA 4691 S Farm Road 213, Rogersville, MO 65742-9266 Ph: (417) 224-7394  | Jacob Schrader, CRNA 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000  | 
Jason Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-777-6911 Fax: 660-826-4852  | |
Rodney Hoover, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 660-826-5960 Fax: 660-826-4852  |