| Mr Mark G Odden, CRNA | |
|
17893 224th St, Manchester, IA 52057-8629 | |
| (563) 927-6183 | |
| (563) 927-6183 |
| Full Name | Mr Mark G Odden |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 41 Years |
| Location | 17893 224th 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 |
|---|---|---|---|
| 1528022993 | NPI | - | NPPES |
| 26702 | Other | IA | RMC BC/BS IOWA |
| 43951 | Other | IA | VINTON BC/BS IOWA |
| 6274647 | Medicaid | IA | |
| 1274647 | Medicaid | IA | |
| 327467 | Medicaid | IA | |
| 4274647 | Medicaid | IA | |
| 47146 | Other | IA | INDE BC/BS IOWA |
| 35258 | Other | IA | SUMNER BC/BS IOWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D-074818 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Buchanan County Health Center | Independence, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peoples Memorial Hospital | 9931010790 | 40 |
| Entity Name | Peoples Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336281245 PECOS PAC ID: 9931010790 Enrollment ID: O20031118000161 |
| Entity Name | Delaware County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
| Entity Name | Guttenberg Municipal Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386679793 PECOS PAC ID: 6901709476 Enrollment ID: O20040130000960 |
| Entity Name | Grundy County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114012085 PECOS PAC ID: 6406766435 Enrollment ID: O20040217000174 |
| 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 | Grundy County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1821055989 PECOS PAC ID: 6406766435 Enrollment ID: O20061104000161 |
| 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 | Sumner Community Club |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780684548 PECOS PAC ID: 5890607691 Enrollment ID: O20061104000206 |
| Entity Name | Guttenberg Municipal Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1932139359 PECOS PAC ID: 6901709476 Enrollment ID: O20061104000673 |
| Entity Name | Sumner Community Club |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1366442295 PECOS PAC ID: 5890607691 Enrollment ID: O20061215000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark G Odden, CRNA Po Box 359, Manchester, IA 52057-0359 Ph: (563) 927-7457 | Mr Mark G Odden, CRNA 17893 224th St, Manchester, IA 52057-8629 Ph: (563) 927-6183 |
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 |