Alexis Marie Holzem, CRNA | |
700 S Park St, Madison, WI 53715-1830 | |
(608) 251-6100 | |
(608) 258-5222 |
Full Name | Alexis Marie Holzem |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 700 S Park St, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144920091 | NPI | - | NPPES |
1144920091 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 226768-30 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 14100-33 (Wisconsin) | Primary |
Entity Name | Dean Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
Mailing Address | Practice Location Address |
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Alexis Marie Holzem, CRNA 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 | Alexis Marie Holzem, CRNA 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 |
Douglas J Konkol, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 S Park St, St Marys Hospital Dean Medical Center, Madison, WI 53715 Phone: 608-258-6975 Fax: 608-258-5222 | |
Jennifer J Schildt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 | |
Alyssa Ct Tesar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 | |
Wilma K Gillis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7 Fuller Dr, Madison, WI 53704 Phone: 608-244-9322 | |
Rebecca Ann Konkol, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 Fax: 608-263-0575 | |
Kelly K Sinutko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 | |
Christopher P Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 |