Mr Channon Lawrence Mckibben, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Marengo, Iowa. His current practice location is
300 W May St, Marengo, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 642-5543.
Mr Channon Lawrence Mckibben is licensed to practice in Iowa (license number 117476) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487189429.
Provider's Profile
| Full Name | Mr Channon Lawrence Mckibben |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 300 W May St, Marengo, Iowa |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Channon Lawrence Mckibben attended and graduated from in
NPI Data:
- NPI Number: 1487189429
- Provider Enumeration Date: 04/27/2017
- Last Update Date: 07/09/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Channon Lawrence Mckibben such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487189429 | NPI | - | NPPES |
| 117476 | Other | IA | RN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 117476 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Channon Lawrence Mckibben is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Channon Lawrence Mckibben,
300 W May St,
Marengo, IA 52301-1261
Ph: (319) 642-5543 | Mr Channon Lawrence Mckibben,
300 W May St,
Marengo, IA 52301-1261
Ph: (319) 642-5543 |
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