Benjamin R Wisenbaker, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Shreveport, LA

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Benjamin R Wisenbaker, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shreveport, Louisiana. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Associated Anesthesiologists Of Fort Wayne, Pc, Jebs Anesthesia Consultants, Llc, Community Health Center Of Branch County, Clinical Colleagues Inc and his current practice location is 1541 Kings Hwy, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 626-0000.

Benjamin R Wisenbaker is licensed to practice in Louisiana (license number AP07907) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023424462.

Contact Information

Benjamin R Wisenbaker, CRNA
1541 Kings Hwy,
Shreveport, LA 71103-4228
(318) 626-0000
(318) 629-4833

Map and Direction




Provider's Profile

Full NameBenjamin R Wisenbaker
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience10 Years
Location1541 Kings Hwy, Shreveport, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Benjamin R Wisenbaker graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1023424462
  • Provider Enumeration Date: 07/07/2014
  • Last Update Date: 10/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769601731
  • Enrollment ID: I20140924001431

Medical Identifiers

Medical identifiers for Benjamin R Wisenbaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023424462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28217287A (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered AP07907 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bluffton Regional Medical CenterBluffton, INHospital
Community Hospitals And Wellness CentersBryan, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Anesthesiologists Of Fort Wayne, Pc2264412444103
Jebs Anesthesia Consultants, Llc448604664629
Community Health Center Of Branch County933503751447
Clinical Colleagues Inc8729011333106

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin R Wisenbaker allows following entities to bill medicare on his behalf.
Entity NameAssociated Anesthesiologists Of Fort Wayne, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538159140
PECOS PAC ID: 2264412444
Enrollment ID: O20040720001562
Entity NameSurgery One Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144724402
PECOS PAC ID: 8820351463
Enrollment ID: O20180413001005
Entity NameIceland Anesthesia Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912578667
PECOS PAC ID: 7618372996
Enrollment ID: O20210825000860
Entity NameJebs Anesthesia Consultants, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790447761
PECOS PAC ID: 4486046646
Enrollment ID: O20220120000233

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin R Wisenbaker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Benjamin R Wisenbaker, CRNA
1541 Kings Hwy,
Shreveport, LA 71103-4228

Ph: () -		Benjamin R Wisenbaker, CRNA
1541 Kings Hwy,
Shreveport, LA 71103-4228

Ph: (318) 626-0000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Shreveport, LA

Billy B Miller Iii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118
Phone: 318-212-5000    
Ms. Lisa Nicole Kellogg, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-675-5000    
Kurvis Antione Davis,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 367 Carrollton Ave, Shreveport, LA 71105
Phone: 318-573-0604    
Brian House,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-626-0000    
Michael Liles,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-675-5000    
Kerri Annette Mullone,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-626-0000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.