| Mr Stephen M Jewell, CRNA | |
|
1410 N 4th St, Clinton, IA 52732-2940 | |
| (563) 244-5555 | |
| Not Available |
| Full Name | Mr Stephen M Jewell |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1410 N 4th St, Clinton, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649232638 | NPI | - | NPPES |
| 44321200 | Medicaid | WI | |
| 0292268 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D-108642 (Iowa) | Primary |
| Entity Name | Washington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235985003 PECOS PAC ID: 2062329931 Enrollment ID: O20031226000310 |
| Entity Name | Mercy Clinton Anesthesia Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184962862 PECOS PAC ID: 9537306394 Enrollment ID: O20130515000132 |
| Entity Name | Grandview Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407458367 PECOS PAC ID: 0749691335 Enrollment ID: O20201203001612 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen M Jewell, CRNA 3400 Dexter Ct, Davenport, IA 52807-3461 Ph: (563) 344-6667 | Mr Stephen M Jewell, CRNA 1410 N 4th St, Clinton, IA 52732-2940 Ph: (563) 244-5555 |
Brandy Stinson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1410 N 4th St, Clinton, IA 52732 Phone: 563-244-5555 | |
Cole Asay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1410 N 4th St, Clinton, IA 52732 Phone: 563-244-5555 | |
Laura Ann Pollard, MSN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1410 N 4th St, Clinton, IA 52732 Phone: 563-244-5555 |