| Matthew Bodine, | |
|
712 W Main St, Manchester, IA 52057-1525 | |
| (563) 822-1435 | |
| Not Available |
| Full Name | Matthew Bodine |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 712 W Main St, Manchester, Iowa |
| 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 |
|---|---|---|---|
| 1295519072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 223057 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D176251 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Health Partners Foundation, Inc | 8022919570 | 408 |
| Entity Name | Memorial Health Partners Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823 |
| 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 | |
Collin James Willhite, CRNA DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 319-368-3625 | |
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: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 Fax: 563-822-1436 | |
Tara Steinbronn, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-927-6183 |