Jeffery P Antonissen, CRNA in Green Bay, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Jeffery P Antonissen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Green Bay, Wisconsin. He graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Baycare Clinic Llp and his current practice location is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-3388.

Jeffery P Antonissen is licensed to practice in Wisconsin (license number 113583) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760494512.

Contact Information

	Jeffery P Antonissen, CRNA
	2845 Greenbrier Rd, Green Bay, WI 54311-6519
	(920) 288-3388
	(920) 288-3370

Map and Direction

Provider's Profile

Full Name	Jeffery P Antonissen
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	26 Years
Location	2845 Greenbrier Rd, Green Bay, 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.

Medical Education and Training:

Jeffery P Antonissen graduated from nursing school in 1998

NPI Data:

NPI Number: 1760494512
Provider Enumeration Date: 08/12/2006
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8628110368
Enrollment ID: I20100119000648

Medical Identifiers

Medical identifiers for Jeffery P Antonissen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760494512	NPI	-	NPPES
104521249	Medicaid	MI
104521230	Medicaid	MI
43399100	Medicaid	WI
P00033987	Other	WI	RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	113583 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Baycare Medical Ctr	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Clinic Llp	4385554328	183

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeffery P Antonissen allows following entities to bill medicare on his behalf.

Entity Name	Baycare Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Jeffery P Antonissen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jeffery P Antonissen, CRNA 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046	Jeffery P Antonissen, CRNA 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-3388

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Green Bay, WI

Mr. Peter B Michon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54308 Phone: 920-288-3388 Fax: 920-288-3370
Angela L Mathias, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Julie A Podlasik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7289
Jeremy J Jerdee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Christine M Zasuly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Joseph A Wenszell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589
Barbara A. Eland, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-431-3071

Jeffery P Antonissen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Green Bay, WI