| Amanda Claire Eagan, DNP CRNA | |
|
333 E 2nd St, Richland Center, WI 53581-1914 | |
| (336) 558-1837 | |
| Not Available |
| Full Name | Amanda Claire Eagan |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 333 E 2nd St, Richland Center, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275165342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D157850 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Divine Savior Healthcare | Portage, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Divine Savior Healthcare Inc | 5799684007 | 76 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Claire Eagan, DNP CRNA 520 Murphy Rd, Mineral Point, WI 53565-8405 Ph: (336) 558-1837 | Amanda Claire Eagan, DNP CRNA 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (336) 558-1837 |
Mr. Timothy Dennis Burns, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 | |
Bryan D Mccarvel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 | |
Mr. Byron Russell Shannon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 | |
Ms. Edith Rachel Shannon-goodrich, CRNA, APNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 | |
Mark A Kamm, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 Fax: 608-647-6235 |