| Reed Stockman, CRNA | |
|
1004 Parkway Ave, Suite B, Elkhart, IN 46516-9348 | |
| (574) 522-9922 | |
| (574) 522-9926 |
| Full Name | Reed Stockman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1004 Parkway Ave, Elkhart, Indiana |
| 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 |
|---|---|---|---|
| 1326071952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28205706A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA01006 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Iowa Regional Medical Center | West burlington, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Anesthesia Iowa Pllc | 0749771129 | 17 |
| Entity Name | Southeast Iowa Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
| Entity Name | Mason City Ambulatory Surgery Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689251720 PECOS PAC ID: 8123037140 Enrollment ID: O20210427000719 |
| Entity Name | Green Anesthesia Iowa PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649143157 PECOS PAC ID: 0749771129 Enrollment ID: O20251113001639 |
| Mailing Address | Practice Location Address |
|---|---|
| Reed Stockman, CRNA 2830 E Prestwick Rd, Winona Lake, IN 46590-8910 Ph: (620) 805-9063 | Reed Stockman, CRNA 1004 Parkway Ave, Suite B, Elkhart, IN 46516-9348 Ph: (574) 522-9922 |
Mr. Adam Abdul Alim Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-524-8130 Fax: 574-524-8138 |
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 |
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926 |
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193 |
Gabriel Lewis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621 |
Fungai Kwanai, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-524-8130 Fax: 574-524-8138 |
Sarah Elizabeth Fox, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2826 Neff St, Elkhart, IN 46514 Phone: 269-967-3659 |