| Katherine M Fanter, CRNA | |
|
901 Montgomery St, Winneshiek Medical Center, Decorah, IA 52101-2325 | |
| (515) 221-9222 | |
| Not Available |
| Full Name | Katherine M Fanter |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 901 Montgomery St, Decorah, Iowa |
| 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 |
|---|---|---|---|
| 1629060546 | NPI | - | NPPES |
| 50171 | Other | IA | WELLMARK GROUP # |
| 0439414 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | D-093740 (Iowa) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | D093740 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Broadlawns Medical Center | Des moines, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Broadlawns Medical Center | 3678466166 | 257 |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine M Fanter, CRNA 1403 Oneota Dr, Decorah, IA 52101-9356 Ph: (515) 577-8139 | Katherine M Fanter, CRNA 901 Montgomery St, Winneshiek Medical Center, Decorah, IA 52101-2325 Ph: (515) 221-9222 |
Nancy J Gilson, RN DIABETES EDUCATOR Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-387-3102 | |
Scott Eric Nordschow, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 | |
David Eldridge, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183 | |
Roberta Oloughlin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183 | |
Mrs. Megan Swestka, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1106 Military Blvd, Decorah, IA 52101 Phone: 563-387-5840 | |
Caitlyn Rae Schultz, ARNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-382-1583 | |
Souksakhone Sengsaisouk, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 College Drive, Decorah, IA 52101 Phone: 563-419-8148 |