| Will Cowan, SRNA | |
|
600 East Blvd, Elkhart, IN 46514 | |
| (574) 294-2621 | |
| Not Available |
| Full Name | Will Cowan |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 600 East Blvd, Elkhart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750908844 | NPI | - | NPPES |
| 300078977 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28281333A (Indiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Will Cowan, SRNA 3245 Health Drive, Suite 100, Granger, IN 46530-2483 Ph: (574) 647-1840 | Will Cowan, SRNA 600 East Blvd, Elkhart, IN 46514 Ph: (574) 294-2621 |
Mr. Adam Abdul Alim Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-524-8130 Fax: 574-524-8138 |
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 |
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926 |
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193 |
Gabriel Lewis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621 |
Fungai Kwanai, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-524-8130 Fax: 574-524-8138 |
Sarah Elizabeth Fox, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2826 Neff St, Elkhart, IN 46514 Phone: 269-967-3659 |