Breanna Hieb, CRNA | |
512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 | |
(218) 879-4641 | |
Not Available |
Full Name | Breanna Hieb |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 512 Skyline Blvd Ste 1, Cloquet, Minnesota |
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 |
---|---|---|---|
1386204345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R-205865-2 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2467 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Hospital | Duluth, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Hospital Of Duluth | 7113834839 | 366 |
Entity Name | St Lukes Hospital Of Duluth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212 |
Entity Name | Community Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
Mailing Address | Practice Location Address |
---|---|
Breanna Hieb, CRNA 512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 Ph: (218) 879-4641 | Breanna Hieb, CRNA 512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 Ph: (218) 879-4641 |
Mr. Patrick A Bailey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-878-7699 | |
Joseph Vidmar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 | |
Mr. Matthew J. Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-878-7699 |