Tony O Sandstrom, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Shawano, Wisconsin. His current practice location is
309 N Bartlett St, Shawano, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 526-2111.
Tony O Sandstrom is licensed to practice in Wisconsin (license number 5845) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780670034.
Physician's Profile
| Full Name | Tony O Sandstrom |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 309 N Bartlett St, Shawano, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tony O Sandstrom attended and graduated from in
NPI Data:
- NPI Number: 1780670034
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 11/17/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tony O Sandstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780670034 | NPI | - | NPPES |
| K400174628 | Other | WI | MEDICARE PTAN |
| K400170079 | Other | WI | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | RN126117 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 5845 (Wisconsin) | 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. Tony O Sandstrom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tony O Sandstrom, CRNA
4401 Masthead St Ne, Suite 120,
Albuquerque, NM 87109-4497
Ph: (505) 243-7729 | Tony O Sandstrom, CRNA
309 N Bartlett St,
Shawano, WI 54166-2127
Ph: (715) 526-2111 |
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