Mr Roger George Mendenhall, CRNA in Atlantic, IA - Nurse Anesthetist, Certified Registered

Mr Roger George Mendenhall, CRNA is a Nurse Anesthetist, Certified Registered based in Atlantic, Iowa. Mr Roger George Mendenhall is licensed to practice in Iowa (license number D047194) and his current practice location is 805 Linda Dr, Atlantic, Iowa. He can be reached at his office (for appointments etc.) via phone at (712) 243-4563.

NPI number for Mr Roger George Mendenhall is 1144254616 and his current mailing address is 805 Linda Dr, Po Box 601, Atlantic, Iowa. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144254616.

Contact Information

	Mr Roger George Mendenhall, CRNA
	805 Linda Dr, Atlantic, IA 50022-2728
	(712) 243-4563
	(712) 243-4563

Provider's Profile

Full Name	Mr Roger George Mendenhall
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	805 Linda Dr, Atlantic, Iowa
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1144254616
Provider Enumeration Date: 07/10/2006
Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mr Roger George Mendenhall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144254616	NPI	-	NPPES
0061069	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	D047194 (Iowa)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roger George Mendenhall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Roger George Mendenhall, CRNA 805 Linda Dr, Po Box 601, Atlantic, IA 50022-2728 Ph: (712) 243-4563	Mr Roger George Mendenhall, CRNA 805 Linda Dr, Atlantic, IA 50022-2728 Ph: (712) 243-4563

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Nurse Anesthetist, Certified Registered Nurses in Atlantic, IA

Brent F Goodrich, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1501 E 10th St, Atlantic, IA 50022
Phone: 712-243-3250 Fax: 712-243-7587

Mr Roger George Mendenhall, CRNA - Nurse Anesthetist, Certified Registered in Atlantic, IA