| Mr Jim Clasen, | |
|
401 E Spruce St, Garden City, KS 67846-5679 | |
| (620) 272-2222 | |
| (620) 272-2127 |
| Full Name | Mr Jim Clasen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 48 Years |
| Location | 401 E Spruce St, Garden City, Kansas |
| 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 |
|---|---|---|---|
| 1174541700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 54983 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 13-4819-111 035633 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Luis Valley Health | Alamosa, CO | Hospital |
| Southwestern Medical Center | Lawton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ias Oklahoma Llc | 9537505532 | 14 |
| Lutheran Hospital Association Of The San Luis Valley | 4789589094 | 107 |
| Entity Name | Ias Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174394365 PECOS PAC ID: 9537505532 Enrollment ID: O20240313001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jim Clasen, 3000 W 95th Ave, Hutchinson, KS 67502-9457 Ph: (620) 272-2222 | Mr Jim Clasen, 401 E Spruce St, Garden City, KS 67846-5679 Ph: (620) 272-2222 |
Thomas Scott Troy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 N Campus, Garden City, KS 67846 Phone: 620-276-7699 | |
Christopher Friedly, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 | |
Chris P Omenski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 Fax: 620-272-2216 | |
John Christian Newcomer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 | |
Lynn Gage Dunford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 N Campus, Garden City, KS 67846 Phone: 620-276-7699 | |
Mr. Brian L Tackitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2610 | |
Diane M Madsen, CRMA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 E Spruce St, Garden City, KS 67846 Phone: 620-272-2222 |