| Mitchell E Ebke, CRNA | |
|
2910 Betten Dr, Crete, NE 68333-3084 | |
| (402) 826-2102 | |
| (402) 826-7950 |
| Full Name | Mitchell E Ebke |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2910 Betten Dr, Crete, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003173311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 101183 (Nebraska) | Primary |
| Entity Name | Gastroenterology Specialties Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083747380 PECOS PAC ID: 5991696775 Enrollment ID: O20040322001318 |
| Entity Name | Associated Anesthesiologists, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972674604 PECOS PAC ID: 4385630391 Enrollment ID: O20040423001226 |
| Entity Name | Anesthesia Group Of Grand Island Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346216793 PECOS PAC ID: 1850377110 Enrollment ID: O20040628000198 |
| Entity Name | Community Medical Center, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1881643484 PECOS PAC ID: 6608776943 Enrollment ID: O20061222000136 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell E Ebke, CRNA Po Box 220, Crete, NE 68333-0220 Ph: (402) 826-2102 | Mitchell E Ebke, CRNA 2910 Betten Dr, Crete, NE 68333-3084 Ph: (402) 826-2102 |
Todd Douglas Alley, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2910 Betten Dr, Crete, NE 68333 Phone: 402-826-2102 |