Benjamin Carlson, | |
425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | |
(715) 845-5505 | |
(715) 848-4884 |
Full Name | Benjamin Carlson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 425 Pine Ridge Blvd, Wausau, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356572069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 158145030 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sauk Prairie Healthcare Inc | 8224948054 | 81 |
Entity Name | Sauk Prairie Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396884474 PECOS PAC ID: 8224948054 Enrollment ID: O20040129001089 |
Entity Name | Drift Away Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093165094 PECOS PAC ID: 7214224492 Enrollment ID: O20161003001888 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Carlson, 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 Ph: () - | Benjamin Carlson, 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 Ph: (715) 845-5505 |
Elaine J. Olsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
Laura B. Solverud, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Ste 211, Wausau, WI 54401 Phone: 715-845-5505 | |
Elliott Adent, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 | |
Steve Henkens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Aaron Zondlo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Marissa J Hernandez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 411 Westwood Dr, Wausau, WI 54401 Phone: 715-847-2558 Fax: 715-847-2557 | |
Michael J Hein, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 Westwood Dr, Wausau, WI 54401 Phone: 715-847-2558 Fax: 715-847-2752 |