Dennis W Stalsberg, CRNA is a
Nurse Anesthetist, Certified Registered based in Necedah, Wisconsin. Dennis W Stalsberg is licensed to practice in Wisconsin (license number 56006-030) and his current practice location is
W5327 Southview Dr, Necedah, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 565-2642.
NPI number for Dennis W Stalsberg is 1154343671 and his current mailing address is W5327 Southview Dr, Necedah, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154343671.
Provider's Profile
| Full Name | Dennis W Stalsberg |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | W5327 Southview Dr, Necedah, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154343671
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dennis W Stalsberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154343671 | NPI | - | NPPES |
| 43279600 | Medicaid | WI | |
| 853481100 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 56006-030 (Wisconsin) | Primary |
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. Dennis W Stalsberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dennis W Stalsberg, CRNA
W5327 Southview Dr,
Necedah, WI 54646-7046
Ph: (608) 565-2642 | Dennis W Stalsberg, CRNA
W5327 Southview Dr,
Necedah, WI 54646-7046
Ph: (608) 565-2642 |
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