| Trevor A Capron, CRNA | |
|
1301 W Main St, Lake City, IA 51449-1585 | |
| (712) 464-3171 | |
| Not Available |
| Full Name | Trevor A Capron |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 1301 W Main St, Lake City, 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 |
|---|---|---|---|
| 1053446401 | NPI | - | NPPES |
| 104665000 | Medicaid | MN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone North Iowa Medical Center | Mason city, IA | Hospital |
| Grinnell Regional Medical Center | Grinnell, IA | Hospital |
| Southwest Health Center | Platteville, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grinnell Regional Medical Center | 0446153662 | 71 |
| North Iowa Mercy Clinics | 7810809076 | 273 |
| Southwest Health Center Inc | 3072427772 | 96 |
| Entity Name | North Iowa Mercy Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273 |
| Entity Name | Medical Associates Clinic P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457300790 PECOS PAC ID: 3870491228 Enrollment ID: O20031223000311 |
| Entity Name | Grinnell Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437663242 PECOS PAC ID: 0446153662 Enrollment ID: O20040127001219 |
| 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 | Mercy Medical Center New Hampton |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1770651515 PECOS PAC ID: 9032006325 Enrollment ID: O20070718000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor A Capron, CRNA 516 Lakewood Dr, Carroll, IA 51401-3406 Ph: (712) 792-4066 | Trevor A Capron, CRNA 1301 W Main St, Lake City, IA 51449-1585 Ph: (712) 464-3171 |
Jeremy C Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 W Main St, Lake City, IA 51449 Phone: 712-464-3171 |