Jeffrey Martell, CRNA | |
14320 W Oak Knoll Rd, Wadsworth, IL 60083-9232 | |
(612) 991-3054 | |
Not Available |
Full Name | Jeffrey Martell |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 14320 W Oak Knoll Rd, Wadsworth, Illinois |
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 |
---|---|---|---|
1437349701 | NPI | - | NPPES |
100270551 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 237366-30 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
Ascension All Saints Hospital | Racine, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Partners Services Sc | 4082832514 | 34 |
Racine Anesthesia Services Llc | 8628103777 | 58 |
Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
Entity Name | Prairie Ridge Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
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 |
Entity Name | Anesthesia Partners Services Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861810947 PECOS PAC ID: 4082832514 Enrollment ID: O20140826000757 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194473066 PECOS PAC ID: 8628980943 Enrollment ID: O20220620000485 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Martell, CRNA 14320 W Oak Knoll Rd, Wadsworth, IL 60083-9232 Ph: (612) 991-3054 | Jeffrey Martell, CRNA 14320 W Oak Knoll Rd, Wadsworth, IL 60083-9232 Ph: (612) 991-3054 |