Ashleigh Douglas, | |
125 Hospital Dr, Watertown, WI 53098-3303 | |
(920) 261-4210 | |
Not Available |
Full Name | Ashleigh Douglas |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 125 Hospital Dr, Watertown, 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 |
---|---|---|---|
1669940664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 225088 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Lakeland Medical Center | Elkhorn, WI | Hospital |
Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Andisthesia Llc | 8527431154 | 2 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
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 | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194473066 PECOS PAC ID: 8628980943 Enrollment ID: O20220620000485 |
Entity Name | Andisthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881303964 PECOS PAC ID: 8527431154 Enrollment ID: O20230302000943 |
Mailing Address | Practice Location Address |
---|---|
Ashleigh Douglas, 3450 River Park Dr Apt 834c, Fort Worth, TX 76116-0712 Ph: (706) 832-7340 | Ashleigh Douglas, 125 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 261-4210 |