Connor Schmidt, | |
1280 Chandler Dr, Spooner, WI 54801-2202 | |
(715) 635-2111 | |
Not Available |
Full Name | Connor Schmidt |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1280 Chandler Dr, Spooner, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134863228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 199795 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 12024 (Wisconsin) | Primary |
Entity Name | Spooner Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518982628 PECOS PAC ID: 2062310287 Enrollment ID: O20040402000663 |
Entity Name | Spooner Health System Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1518982628 PECOS PAC ID: 2062310287 Enrollment ID: O20070524000677 |
Mailing Address | Practice Location Address |
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Connor Schmidt, 1311 Grant St, Spooner, WI 54801-1751 Ph: () - | Connor Schmidt, 1280 Chandler Dr, Spooner, WI 54801-2202 Ph: (715) 635-2111 |
Ms. Natalie Dawn Neinstadt, CRNA, APNP, APRN, MS Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1280 Chandler Dr, Spooner, WI 54801 Phone: 715-635-2111 | |
Anne C Kristy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 819 Ash St, Spooner Health System, Spooner, WI 54801 Phone: 715-635-2111 | |
Timothy D Schmidt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 819 Ash St, Spooner Health System, Spooner, WI 54801 Phone: 715-635-2111 |