| Thomas J Goetz, CRNA | |
| 
					115 E 52nd St, Kearney, NE 68847-0502  | |
| (308) 236-5506 | |
| (308) 236-7089 | 
| Full Name | Thomas J Goetz | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 115 E 52nd St, Kearney, Nebraska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306876362 | NPI | - | NPPES | 
| 47068752615 | Medicaid | NE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 100682 (Nebraska) | Primary | 
| Entity Name | Kearney Anesthesia Associates Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578593752 PECOS PAC ID: 9335132141 Enrollment ID: O20040407000362  | 
| Entity Name | Greater Siouxland Anesthesiology & Pain Prof Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750916490 PECOS PAC ID: 5395174478 Enrollment ID: O20200413000652  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thomas J Goetz, CRNA Po Box 1771, Kearney, NE 68848-1771 Ph: (308) 236-5506  | Thomas J Goetz, CRNA 115 E 52nd St, Kearney, NE 68847-0502 Ph: (308) 236-5506  | 
Troy A Kluthe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089  | |
Charles L Messbarger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089  | |
Donna M Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089  | |
Daniel D Moos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 E 31st St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089  | |
Kristina E Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089  | |
Kwang Hee Alexander Johng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 804 22nd Ave, Kearney, NE 68845 Phone: 308-455-3600  |