James P Manderle, MD | |
130 2nd St, Ste. A107, Neenah, WI 54956-2883 | |
(920) 729-3332 | |
Not Available |
Full Name | James P Manderle |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 32 Years |
Location | 130 2nd St, Neenah, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013905769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 122034 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New Anesthesiology Sc | 0547269078 | 22 |
Racine Anesthesia Services Llc | 8628103777 | 58 |
Entity Name | New Anesthesiology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629163894 PECOS PAC ID: 0547269078 Enrollment ID: O20061212000118 |
Entity Name | Racine Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106 |
Mailing Address | Practice Location Address |
---|---|
James P Manderle, MD 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 Ph: (920) 729-3332 | James P Manderle, MD 130 2nd St, Ste. A107, Neenah, WI 54956-2883 Ph: (920) 729-3332 |
Richard Anton Dziewit, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Theda Clark Medical Plz, Neenah, WI 54956 Phone: 920-729-3100 | |
Laura Geiger, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Theda Clark Medical Plz, Neenah, WI 54956 Phone: 920-729-3100 | |
Hillary Rollins, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Theda Clark Medical Plz, Neenah, WI 54956 Phone: 920-729-3100 | |
Matthew James Michener, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-3100 | |
Matthew Behnke, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Suite A107, Neenah, WI 54956 Phone: 920-729-3100 |