| Mr Mark P Bishop, CRNA | |
|
40 1st St Se, Waukon, IA 52172-2099 | |
| (563) 568-3411 | |
| (563) 568-6139 |
| Full Name | Mr Mark P Bishop |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 40 1st St Se, Waukon, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952655409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 306676 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D146442 (Iowa) | Primary |
| Entity Name | Waverly Health Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1033125463 PECOS PAC ID: 8820996762 Enrollment ID: O20060925000486 |
| Entity Name | Palmer Lutheran Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1598765398 PECOS PAC ID: 4284544255 Enrollment ID: O20061104000164 |
| Entity Name | Veterans Memorial Hospital City of Waukon Ia |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1164599643 PECOS PAC ID: 1355230293 Enrollment ID: O20101101000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark P Bishop, CRNA 40 1st St Se, Waukon, IA 52172-2099 Ph: (419) 290-4998 | Mr Mark P Bishop, CRNA 40 1st St Se, Waukon, IA 52172-2099 Ph: (563) 568-3411 |
Mr. William Francis Loebig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40 1st St Se, Waukon, IA 52172 Phone: 563-568-3411 Fax: 563-568-6139 |