| Shawn C Blake, CRNA | |
|
235 8th Ave W, Cresco, IA 52136-1062 | |
| (563) 547-2101 | |
| (563) 547-3448 |
| Full Name | Shawn C Blake |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 235 8th Ave W, Cresco, Iowa |
| 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 |
|---|---|---|---|
| 1821475849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | D116603 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D116603 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Health Services Of Howard County | Cresco, IA | Hospital |
| Veterans Memorial Hospital | Waukon, IA | Hospital |
| Compass Memorial Healthcare | Marengo, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Health Services Of Howard County | 1153238977 | 23 |
| Entity Name | Peoples Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336281245 PECOS PAC ID: 9931010790 Enrollment ID: O20031118000161 |
| Entity Name | Delaware County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
| Entity Name | Regional Health Services Of Howard County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730283326 PECOS PAC ID: 1153238977 Enrollment ID: O20040130000356 |
| Entity Name | Winneshiek Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992854863 PECOS PAC ID: 4688582935 Enrollment ID: O20040316001437 |
| Entity Name | Marengo Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053368191 PECOS PAC ID: 0749199446 Enrollment ID: O20040318000643 |
| 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 | Sumner Community Club |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780684548 PECOS PAC ID: 5890607691 Enrollment ID: O20061104000206 |
| Entity Name | Regional Health Services Of Howard County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417991316 PECOS PAC ID: 1153238977 Enrollment ID: O20061104000388 |
| Entity Name | Central Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184645434 PECOS PAC ID: 1052206372 Enrollment ID: O20061104000446 |
| Entity Name | Sumner Community Club |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1366442295 PECOS PAC ID: 5890607691 Enrollment ID: O20061215000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn C Blake, CRNA 235 8th Ave W, Cresco, IA 52136-1062 Ph: (563) 547-2101 | Shawn C Blake, CRNA 235 8th Ave W, Cresco, IA 52136-1062 Ph: (563) 547-2101 |
Mr. Robert A. Cobbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 235 8th Ave W, Cresco, IA 52136 Phone: 563-547-2101 Fax: 563-547-3448 | |
Todd Schissel, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 235 8th Ave W, Cresco, IA 52136 Phone: 563-547-6351 Fax: 563-547-6390 |