| Mr Richard Maynard, CRNA | |
|
1518 Mulberry Ave, Muscatine, IA 52761-3433 | |
| (563) 264-9100 | |
| Not Available |
| Full Name | Mr Richard Maynard |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 1518 Mulberry Ave, Muscatine, 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 |
|---|---|---|---|
| 1922087196 | NPI | - | NPPES |
| 0418814 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 108460 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Muscatine | Muscatine, IA | Hospital |
| Trinity - Bettendorf | Bettendorf, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apollo Anesthesia And Pain Management Pllc | 9133550544 | 24 |
| Entity Name | Jackson County Public Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689705949 PECOS PAC ID: 1254248958 Enrollment ID: O20040120000117 |
| Entity Name | Unity Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629122742 PECOS PAC ID: 8224931548 Enrollment ID: O20040202000524 |
| Entity Name | Jackson County Public Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912960758 PECOS PAC ID: 1254248958 Enrollment ID: O20061104000661 |
| Entity Name | Apollo Anesthesia And Pain Management Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265051817 PECOS PAC ID: 9133550544 Enrollment ID: O20220720001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Maynard, CRNA 1518 Mulberry Ave, Muscatine, IA 52761-3433 Ph: (563) 264-9100 | Mr Richard Maynard, CRNA 1518 Mulberry Ave, Muscatine, IA 52761-3433 Ph: (563) 264-9100 |
Mr. Dale Wilder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1518 Mulberry Ave, Muscatine, IA 52761 Phone: 563-264-9100 | |
Ms. Ann Leland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1518 Mulberry Ave, Muscatine, IA 52761 Phone: 563-264-9100 | |
Mr. Larry Stewart, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1518 Mulberry Ave, Muscatine, IA 52761 Phone: 563-264-9100 | |
Mr. Patrick David Kelsall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1710 Cobblestone Dr, Muscatine, IA 52761 Phone: 563-264-9304 |