Benjamin Clark Sickler, CRNA | |
301 Highway 65 S, Mora, MN 55051-1899 | |
(320) 225-3335 | |
(320) 225-3345 |
Full Name | Benjamin Clark Sickler |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 301 Highway 65 S, Mora, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255497004 | NPI | - | NPPES |
076734 | Other | MN | RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 076734 (Minnesota) | Primary |
Entity Name | County Of Kanabec |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 0648187237 Enrollment ID: O20031125000660 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Welia Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 6709295496 Enrollment ID: O20220125001227 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Clark Sickler, CRNA 35463 Palisade Dr Ne, Cambridge, MN 55008-8054 Ph: (763) 689-1008 | Benjamin Clark Sickler, CRNA 301 Highway 65 S, Mora, MN 55051-1899 Ph: (320) 225-3335 |
Joseph John Buckley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 679-225-3428 | |
Matthew James Hamiel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-225-3428 | |
Ms. Dustin Scott Paulson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-225-3335 Fax: 320-225-3345 | |
Mr. Robert M Woods, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-225-3335 Fax: 320-225-3345 |