| Shane D Faltys, CRNA | |
|
2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | |
| (573) 718-2710 | |
| Not Available |
| Full Name | Shane D Faltys |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 2620 N Westwood Blvd, Poplar Bluff, Missouri |
| 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 |
|---|---|---|---|
| 1164640926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2004031200 (Missouri) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | D-102109 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unitypoint Health-marshalltown | Marshalltown, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Unitypoint Health - Marshalltown | 0941587307 | 13 |
| Entity Name | Waverly Health Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1033125463 PECOS PAC ID: 8820996762 Enrollment ID: O20060925000486 |
| Entity Name | Unitypoint Health - Marshalltown |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164957593 PECOS PAC ID: 0941587307 Enrollment ID: O20170608002304 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane D Faltys, CRNA 12747 Foxwood Pt, Poplar Bluff, MO 63901-7746 Ph: (573) 778-3870 | Shane D Faltys, CRNA 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 Ph: (573) 718-2710 |
Ms. Shirley A Jautz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 221 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-727-9080 | |
Joshua Ryan Morse, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 | |
Timothy Paul Kordick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4111 | |
Roger Dean Faltys, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-727-2295 | |
Mr. Glenn Dean Carlton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 621 W Pine St, Poplar Bluff, MO 63901 Phone: 573-686-4111 | |
Mr. Richard Leroy Crayton, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721 |