Dr Benjamin Riebesel, | |
5734 Coventry Ln, Fort Wayne, IN 46804-7141 | |
(260) 435-7973 | |
Not Available |
Full Name | Dr Benjamin Riebesel |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 5734 Coventry Ln, Fort Wayne, Indiana |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801338769 | NPI | - | NPPES |
300019421 | Medicaid | IN | |
412840169 | Other | IN | MEDICARE |
7100910520 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28232032A (Indiana) | Primary |
163W00000X | Registered Nurse | 28232032A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Promedica Coldwater Regional Hospital | Coldwater, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aas Indiana Llc | 4688045115 | 54 |
Iceland Anesthesia Management Llc | 7618372996 | 53 |
Clinical Colleagues Inc | 8729011333 | 106 |
Community Health Center Of Branch County | 9335037514 | 47 |
Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
Entity Name | Norton - Kings Daughters Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
Entity Name | Stat Anesthesia Specialists Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699724781 PECOS PAC ID: 8123031473 Enrollment ID: O20070529000372 |
Entity Name | Clinical Colleagues Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20181101000420 |
Entity Name | New Amsterdam Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205460748 PECOS PAC ID: 6002246840 Enrollment ID: O20200420001383 |
Entity Name | Iceland Anesthesia Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
Entity Name | Jebs Anesthesia Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233 |
Entity Name | Aas Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831827021 PECOS PAC ID: 4688045115 Enrollment ID: O20230120001025 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Riebesel, 12063 Lower Huntington Rd, Roanoke, IN 46783-9667 Ph: (251) 599-6756 | Dr Benjamin Riebesel, 5734 Coventry Ln, Fort Wayne, IN 46804-7141 Ph: (260) 435-7973 |
Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 | |
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 | |
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 | |
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000 | |
Madeline Sikes Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812 | |
Dr. Jennifer Hager, DNP, MBA, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812 | |
Lisa Osborne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 |