| Ryan A Hulzebos, CRNA | |
|
7150 Clearvista Dr, Indianapolis, IN 46256-1695 | |
| (317) 621-9002 | |
| Not Available |
| Full Name | Ryan A Hulzebos |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 7150 Clearvista Dr, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497864615 | NPI | - | NPPES |
| P01512412 | Other | IN | RR MEDICARE |
| 201284120 | Medicaid | IN | |
| 74011602 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4770A (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28220828A (Indiana) | Primary |
| Entity Name | Community Hospital Of Anderson And Madison County Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578544896 PECOS PAC ID: 9335139500 Enrollment ID: O20040519001125 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Entity Name | Jebs Anesthesia Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan A Hulzebos, CRNA 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805 Ph: () - | Ryan A Hulzebos, CRNA 7150 Clearvista Dr, Indianapolis, IN 46256-1695 Ph: (317) 621-9002 |
Robert Beyerlein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 Fax: 317-621-7884 | |
Kyley Struck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Samantha L Dugan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-274-0275 | |
John Patrick Haltom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-274-0275 | |
Greg Daley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Dr. Sydney Ann Bramlett, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Michelo Andrew Chikonka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-4200 |