| Mrs Jacquelyn Edith Rockman, CRNA | |
|
500 Cherry St, Dodge City, KS 67801-5626 | |
| (334) 549-2903 | |
| Not Available |
| Full Name | Mrs Jacquelyn Edith Rockman |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 500 Cherry St, Dodge City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568490936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1034848 (Alabama) | Primary |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Endo Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
| Entity Name | Epix Medical Services Of Houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417392200 PECOS PAC ID: 8527202167 Enrollment ID: O20130920000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacquelyn Edith Rockman, CRNA 4028 Meredith Dr, Montgomery, AL 36109-2343 Ph: (334) 549-2903 | Mrs Jacquelyn Edith Rockman, CRNA 500 Cherry St, Dodge City, KS 67801-5626 Ph: (334) 549-2903 |
Dr. Dana Alan Reynolds, EDD, MS, ARNP-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2811 Avenue A, Apt. A, Dodge City, KS 67801 Phone: 620-371-6140 | |
Martha Jane Marples, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 W Ross Blvd, Dodge City, KS 67801 Phone: 620-225-2847 Fax: 620-225-7046 | |
Jason Witzel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 107 Corral Way Apt A, Dodge City, KS 67801 Phone: 205-585-1301 | |
Kristopher Costello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3001 Avenue A, Dodge City, KS 67801 Phone: 620-225-8400 | |
Terry A Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W Ross Blvd, Dodge City, KS 67801 Phone: 620-225-2847 Fax: 620-225-7046 |