| Matthew Bodine, | |
|
712 W Main St, Manchester, IA 52057-1525 | |
| (563) 822-1435 | |
| Not Available |
| Full Name | Matthew Bodine |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 712 W Main St, Manchester, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295519072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 223057 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D176251 (Iowa) | Primary |
| Entity Name | Delaware County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
| Entity Name | Sumner Community Club |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801818661 PECOS PAC ID: 5890607691 Enrollment ID: O20040109000930 |
| Entity Name | Sumner Community Club |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780684548 PECOS PAC ID: 5890607691 Enrollment ID: O20061104000206 |
| Entity Name | Sumner Community Club |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1366442295 PECOS PAC ID: 5890607691 Enrollment ID: O20061215000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Bodine, 712 W Main St, Manchester, IA 52057-1525 Ph: () - | Matthew Bodine, 712 W Main St, Manchester, IA 52057-1525 Ph: (563) 822-1435 |
Isaac Albert Butler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 | |
David Mark Huether, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 17893 224th St, Manchester, IA 52057 Phone: 563-927-6183 Fax: 563-927-6183 | |
James Oliver Cody, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 | |
Sarah Cisco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Regional Medical Center, 709 W Main St, Manchester, IA 52057 Phone: 563-822-1435 | |
Travis Randal Schulze, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 Fax: 563-822-1436 | |
Tara Steinbronn, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-927-6183 | |
Ms. Anne Meyer-mccright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 Fax: 563-822-1436 |