Ariel Dimitrijevic, | |
10400 75th St, Kenosha, WI 53142-7884 | |
(262) 948-5600 | |
Not Available |
Full Name | Ariel Dimitrijevic |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 10400 75th St, Kenosha, 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 |
---|---|---|---|
1518586965 | NPI | - | NPPES |
100104040 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 200443-30 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 10198-033 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brookfield Anesthesiologists Sc | 5395847529 | 4 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Brookfield Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942257902 PECOS PAC ID: 5395847529 Enrollment ID: O20070219000542 |
Mailing Address | Practice Location Address |
---|---|
Ariel Dimitrijevic, 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2377 | Ariel Dimitrijevic, 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5600 |
Paula Michelle Osgood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Dorothy Katherine Free, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 Fax: 262-948-5735 | |
Hannah R Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 Fax: 262-948-5735 | |
Alexandra M Roznowski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Jessica L Holland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600 | |
Theresa A. Aschenbrener, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-2011 | |
Brandi M Turner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 Fax: 262-948-7388 |