| Lydia Adams, | |
|
901 Montgomery St, Decorah, IA 52101-2325 | |
| (563) 382-2911 | |
| Not Available |
| Full Name | Lydia Adams |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 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 |
|---|---|---|---|
| 1538584131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D120926 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 122 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winnmed | Decorah, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winneshiek Medical Center | 4688582935 | 99 |
| Entity Name | Regional Health Services of Howard County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730283326 PECOS PAC ID: 1153238977 Enrollment ID: O20040130000356 |
| Entity Name | Winneshiek Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992854863 PECOS PAC ID: 4688582935 Enrollment ID: O20040316001437 |
| Entity Name | Winneshiek Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1619922051 PECOS PAC ID: 4688582935 Enrollment ID: O20061104000215 |
| Entity Name | Regional Health Services of Howard County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417991316 PECOS PAC ID: 1153238977 Enrollment ID: O20061104000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Adams, 22564 306th St, Waucoma, IA 52171-7164 Ph: (641) 220-2215 | Lydia Adams, 901 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-2911 |
Christine Sue Roth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-387-3102 |
Bill Tisue, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 319-382-2911 |